Single bifid ectopic left ureter presenting clinically as a vaginal cyst

Area of Science:

• Urology
• Gynecology
• Embryology

Background:

• Vaginal cysts are uncommon gynecological findings.
• Ectopic ureters can lead to various urinary tract complications.
• Gartner's duct remnants are embryological remnants with potential for cyst formation.

Observation:

• A patient presented with a vaginal cyst.
• The cyst communicated with both the bladder and a single ectopic left ureter.
• This anatomical anomaly was identified as a ureter retaining its original relationship to the wolffian duct, consistent with Gartner's cyst.

Findings:

• The reported anomaly was a Gartner's cyst associated with an ectopic ureter.
• Surgical management was successfully performed.
• The procedure included extirpation of the cyst and reimplantation of the ectopic ureter into the bladder.

Implications:

• This case highlights the importance of considering embryological origins in diagnosing complex urogenital anomalies.
• Successful surgical correction of such rare conditions can restore normal anatomy and function.
• Understanding Gartner's duct anomalies is crucial for urologists and gynecologists managing related pathologies.