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Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
Published on: April 17, 2019
A Gartner Duct Cyst Masquerading as Anterior Vaginal Prolapse
Emily R W Davidson1, Matthew D Barber
1Cleveland Clinic, Cleveland, Ohio; and Duke University, Durham, North Carolina.
Background:
Gartner duct cysts are embryologic remnants of the mesonephric ducts that may present as a vaginal mass or cyst.
Case:
A patient was referred for surgical management of prolapse whose bulging anterior vagina was actually a Gartner duct cyst that required excision as a result of symptoms. Preoperative magnetic resonance imaging helped confirm the diagnosis.
Conclusion:
A Gartner duct cyst may present as a vaginal cyst that, if large, may mimic pelvic organ prolapse. The diagnosis should be considered when a patient's individual prolapse compartments are inconsistent or when physical examination is suggestive of another process.
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