Vaginal wall cysts

Case contributed by Dr Roberto Schubert

Presentation

An indolent vaginal mass was incidentally found during a routine pelvic examination by the patient's gynaecologist.

Patient Data

Age: 57
Gender: Female
MRI

Duplicate cysts in the anterior vaginal wall with not completely fluid-isointense signal (probably proteinaceous content) and discrete peripheral rim enhancement.

Case Discussion

Cysts in the vaginal wall may arise from remnants of the Müllerian duct, the Gartner duct or from Skene's periurethral glands. Epidermoid inclusion cysts are also a possibility after surgery or trauma. Mucinous content has been described in Müllerian duct cysts. This probably applies to this case.

They must be differentiated from urethral diverticula, which are hardly ever asymptomatic.

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Case information

rID: 15915
Case created: 21st Nov 2011
Last edited: 29th Aug 2015
System: Gynaecology
Inclusion in quiz mode: Excluded

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