This article aims to report a rare case of a 38 years old Para 2 who was referred to the outpatient clinic of Vikash Multispecialty Hospital as a case of grade 3 uterovaginal prolapse with complaint of something coming out per vagina since 12 years. She also complained of heavy bleeding during menstruation, not responding to medical management since 2 years. Clinical and imaging studies lead to the diagnosis of anterior vaginal cyst, intramural fibroid and cervical polyp. After detailed counseling of the risks and benefits of surgical excision of the cyst with or without removal of uterus, she opted for removal of vaginal cyst and vaginal hysterectomy as she was tired of the medical management and had to undergo blood transfusion twice due to heavy menstrual bleeding. She had an uneventful postoperative period and was discharged in good condition on the third day. This case stresses on the importance of right diagnosis and proper management of the masses coming out of vagina as not everything which comes out of vagina is prolapse. Hesitancy in seeking medical care and lack of proper medical facilities, especially in rural areas in underdeveloped and developing countries, are among the major reasons these cases are unreported in medical literature.
Published in | World Journal of Medical Case Reports (Volume 5, Issue 2) |
DOI | 10.11648/j.wjmcr.20240502.12 |
Page(s) | 23-26 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Vaginal Cysts, Mullerian Cyst, Gartner’s Cysts, Prolapse, Uterovaginal Prolapse, Fibroid, Surgical Excision
[1] | R. N. Marisa and E. Oliva, Gynecologic Pathology, Elsevier Health Sciences, Philadelphia, Pa, USA, 2009. |
[2] | Junaid TA, Thomas SM. Cysts of the vagina and vulva: a comparative study. Int J GynecolObstet 1981; 19: 239-243. |
[3] | Tsiapakidou S, Theodoulidis I, Grimbizis G, Mikos T. Surgical excision of vaginal cysts presenting as pelvic organ prolapse: a case series. Pan Afr Med J. 2022 May 6; 42: 10. |
[4] | S. G. Fletcher and G. E. Lemack, “Benign masses of the female periurethral tissues and anterior vaginal wall,” Current Urology Reports, vol. 9, no. 5, pp. 389–396, 2008. |
[5] | Lallar M, Nandal R, Sharma D, Shastri S (2015) Large posterior vaginal cyst in pregnancy. BMJ Case Report 2015. |
[6] | Arumugam AV, Kumar G, Si LK, Vijayananthan A (2007) Gartner duct cyst in pregnancy presenting as a prolapsing pelvic mass. Biomed Imaging Interv J 3(4): e46. |
[7] | Hwang JH, Oh MJ, Lee NW, Hur JY, Lee KW, et al. (2009) Multiple vaginal mullerian cysts: a case report and review of literature. Arch Gynecol Onstet 280(1): 137-139. |
[8] | Eilber KS, Raz S (2003) Begnign cystic lesions of the vagina: a literature review. J Urol 170(3): 717-722. |
[9] | Lee KS, Park KH, Lee S, Kim JY, Seo SS (2005) Adenocarcinoma arising in a vaginal mullerian cyst: a case report. Gynecol Oncol 99(3): 767-769. |
[10] | Prdhan S, Tobon H (1986) Vaginal cysts: a clinicalpathological study of 41 cases. Int J Gynecol Pathol 5(1): 35-46. |
[11] | Tiwari U, Relia N, Shailesh F, Kaushik C (2014) Gartner Duct Cyst: CT and MRI findings. J Obstet Gynaecol India 64(Suppl 1): 150-151. |
[12] | Elsayes KM, Narra VR, Dillman JR, Velcheti V, Hameed O, et al. (2007) Vaginal masses: magnetic Resonance Imaging features with Pathologic correlation. Acta Radiol 48(8): 921-933. |
[13] | Hagspiel KD. Giant Gartner duct cyst: magnetic resonance imaging findings. Abdom Imaging 1995; 20(6): 566-568. |
[14] | Boujenah J, Ssi-Yan-Kan G, Prevot S, Chalouhi GE, Deffieux X. A vaginal Gartner duct cyst presenting as a cystocele during pregnancy. Eur J ObstetGynecolReprod Biol. 2014 Sep; 180: 202–4. |
[15] | Rios, S. S., Pereira, L. C. R., Santos, C. B. et al. Conservative treatment and follow-up of vaginal Gartner’s duct cysts: a case series. J Med Case Reports 10, 147 (2016). |
[16] |
Santos X. M., Krishnamurthy R., Bercaw-Pratt J. L., and Dietrich J. E., The utility of ultrasound and magnetic resonance imaging versus surgery for the characterization of Müllerian anomalies in the pediatric and adolescent population, Journal of Pediatric & Adolescent Gynecology. (2012) 25, no. 3, 181–184,
https://doi.org/10.1016/j.jpag.2011.12.069,2-s2.0-84860836276 |
[17] | KARYN SCHLUNT EILBER, SHLOMO RAZ, Benign Cystic Lesions of the Vagina: A Literature Review, The Journal of Urology, Volume 170, Issue 3, 2003, Pages 717-722, ISSN 0022-5347, |
APA Style
Kumari, S. (2024). Rare Case of Anterior Vaginal Cyst Presenting as Huge Cystocoele. World Journal of Medical Case Reports, 5(2), 23-26. https://doi.org/10.11648/j.wjmcr.20240502.12
ACS Style
Kumari, S. Rare Case of Anterior Vaginal Cyst Presenting as Huge Cystocoele. World J. Med. Case Rep. 2024, 5(2), 23-26. doi: 10.11648/j.wjmcr.20240502.12
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TY - JOUR T1 - Rare Case of Anterior Vaginal Cyst Presenting as Huge Cystocoele AU - Sweety Kumari Y1 - 2024/12/19 PY - 2024 N1 - https://doi.org/10.11648/j.wjmcr.20240502.12 DO - 10.11648/j.wjmcr.20240502.12 T2 - World Journal of Medical Case Reports JF - World Journal of Medical Case Reports JO - World Journal of Medical Case Reports SP - 23 EP - 26 PB - Science Publishing Group SN - 2994-726X UR - https://doi.org/10.11648/j.wjmcr.20240502.12 AB - This article aims to report a rare case of a 38 years old Para 2 who was referred to the outpatient clinic of Vikash Multispecialty Hospital as a case of grade 3 uterovaginal prolapse with complaint of something coming out per vagina since 12 years. She also complained of heavy bleeding during menstruation, not responding to medical management since 2 years. Clinical and imaging studies lead to the diagnosis of anterior vaginal cyst, intramural fibroid and cervical polyp. After detailed counseling of the risks and benefits of surgical excision of the cyst with or without removal of uterus, she opted for removal of vaginal cyst and vaginal hysterectomy as she was tired of the medical management and had to undergo blood transfusion twice due to heavy menstrual bleeding. She had an uneventful postoperative period and was discharged in good condition on the third day. This case stresses on the importance of right diagnosis and proper management of the masses coming out of vagina as not everything which comes out of vagina is prolapse. Hesitancy in seeking medical care and lack of proper medical facilities, especially in rural areas in underdeveloped and developing countries, are among the major reasons these cases are unreported in medical literature. VL - 5 IS - 2 ER -