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Large Nabothian Cyst Obstructing Labour Passage
Fisun Vural1, Ilhan Sanverdi1, Ayse Deniz Ertürk Coskun1
1Specialist, Department of Obstetrics and Gynaecology, Haydarpasa Numune Teaching Hospital , Istanbul, Turkey .
Journal of Clinical and Diagnostic Research : JCDR
|November 12, 2015
Summary
This case report details a rare instance of large nabothian cysts obstructing labor. Simple drainage facilitated vaginal delivery, highlighting a unique clinical presentation of these common cervical cysts.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
- Pathology
Background:
- Nabothian cysts are common, benign cervical retention cysts, typically asymptomatic and requiring no intervention.
- Enlarged nabothian cysts are rare and can pose diagnostic challenges, particularly differentiating them from cervical malignancies like adenoma malignum.
Observation:
- A 38-week pregnant patient presented with labor pain and a large (60x70 mm) protruding vaginal cystic mass.
- The mass obstructed labor, necessitating simple drainage to allow spontaneous vaginal delivery of a healthy male infant.
Findings:
- Postpartum, a persistent 40x50 mm cervical cyst was confirmed pathologically as a nabothian cyst.
- This represents the first reported case of nabothian cysts significantly obstructing the labor passage.
Implications:
- Clinicians should consider enlarged cervical cystic masses in the differential diagnosis of labor obstruction during pregnancy.
- This case underscores the importance of thorough gynecologic evaluation in pregnant patients presenting with unusual pelvic masses.
