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Large Gartner cyst.
Gonçalo Inocêncio1, Sara Azevedo, António Braga
1Obstetrics Gynaecology Department, Centro Hospitalar do Porto - Maternidade Júlio Dinis, Porto, Portugal. inocencio@portugalmail.com
BMJ Case Reports
|February 27, 2013
Summary
Gartner cysts are typically small and asymptomatic vaginal cysts. This case highlights a rare, large 8 cm Gartner cyst, detailing its diagnosis and successful surgical management.
Area of Science:
- Gynecology
- Urogynecology
- Surgical Pathology
Background:
- Gartner cysts are common, usually small (<2 cm), and asymptomatic vaginal cysts.
- They originate from remnants of the Wolffian duct (mesonephric duct).
- Typically discovered incidentally during routine gynecological examinations.
Observation:
- A rare case of a significantly enlarged Gartner cyst, measuring approximately 8 cm, is presented.
- The cyst's large size was attributed to mucus accumulation within the closed structure.
- This presented a diagnostic challenge, requiring consideration of other pelvic masses.
Findings:
- Diagnostic investigations confirmed the nature of the large Gartner cyst.
- A vaginal surgical approach was successfully employed for its removal.
- The patient experienced an uneventful postoperative recovery.
Implications:
- This case expands the known clinical presentation of Gartner cysts beyond typical small, asymptomatic findings.
- It underscores the importance of considering Gartner cysts in the differential diagnosis of large vaginal masses.
- The successful vaginal surgical management demonstrates a viable treatment option for symptomatic or enlarged cysts.
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