A huge Gartner’s cyst
A 38-year lady––para 2, last childbirth 7 months back––complained of a mass emanating out of her vagina.She has first observed this eruption about 4 months back, when it seemed like a harmless pustule. However, the lesion progressed with time.
The patient had no significant medical or drug history. Both her live births occurred vaginally and the deliveries were uncomplicated.
On examination, the cervix was normal. No abnormalities were evident in the uterus and the adnexa was free and bilaterally non-tender.
Differential diagnosis:
• Bartholin's duct cyst
• Cystocele
• Endometriotic cyst
• Urethral diverticulum
• Bladder diverticulum
• Abdominal and genitourinary abnormalities.
A transvaginal ultrasound was carried out, which disclosed a single cyst (diam: 6 × 6 cm), with no urethral link. Routine blood investigations and urinalysis showed normal results.
Provisional diagnosis: Gartner duct cyst
Treatment: surgical excision and cystectomy was undertaken under spinal anesthesia. Histopathological analysis of the excised tissue confirmed Gartner duct cyst. No recurrence was recorded on the 2- and 3-month follow-ups.
Gartner’s cyst is characterized by a total or partial occlusion of the Gartner’s duct; it accounts for 11% of all vaginal cysts. The usual site of occurrence is anterior or lateral wall of the vagina; the cyst extends from the cervix to the introitus. In some cases, an atypical posterior location has been reported.
The cyst is characteristically small, usually asymptomatic, and follows the Gartner’s duct. In a few cases, Gartner’s cyst can be congenital.1
Reference
1. Indu N R, Hiremath P. B, Reshmi M, Supriya M S, Hiremath R, Case report of a huge Gartner’s cyst. Indian J Obstet Gynecol Res 2023;10(1):67-69
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