Yapi Marging Senior Resident, Department of Obstetrics and Gynecology, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Shillong 793018, Meghalaya, India
Nalini Sharma Additional Professor, Department of Obstetrics and Gynecology, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Shillong 793018, Meghalaya, India
Ahanthem Santa Singh Senior Professor and Head, Department of Obstetrics and Gynecology, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Shillong 793018, Meghalaya, India
Dimple Kharkongor Senior Resident, Department of Obstetrics and Gynecology, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Shillong 793018, Meghalaya, India
Khulakpam Rimabati 2nd Year Post Graduate, Department of Obstetrics and Gynecology, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Shillong 793018, Meghalaya, India
Address for correspondence: Yapi Marging, Senior Resident, Department of Obstetrics and Gynecology, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Shillong 793018, Meghalaya, India E-mail: Yapimarging87099@gmail.com
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Nalini Sharma, Yapi Marging, Ahanthem Santa Singh et al. A Large Gartner Cyst in an unmarried 17 years old female:
A Case Report. Indian J Obstet Gynecol. 2024;12(2):87-89.
Timeline
Received : April 27, 2024
Accepted : May 22, 2024
Published : June 30, 2024
Abstract
In females during the phase of embryonic development the mesonephric ducts also known as wolffian ducts usually degenerate although it can be a persistent remnants which may become clinically apparent. This remnant of vestiges which can persist is called as Gartner duct. Gartner ducts generally are located in the proximal anterolateral wall of vagina, however it can be found at other sites along the vaginal length. It can be confused with other vaginal cysts like skenes cysts, epidermoid cysts, inclusion cyst, sebaceuous cyst, urethral diverticula. Mostly found fortuitously within the lateral vaginal wall during routine examination as Gartner cyst are mostly asymptomatic presentation clinically. Even so the patient present with Symptoms the complaints could include dyspareunia, vaginal pain, and difficulty inserting tampoons with associated vaginal infections. The gartner cyst has low columnar epithelium which secretes mucinous material, when the duct is blocked or occluded it gets collected which forms the cyst thereby during vaginal examination usually a tense cyst is palpable or seen to bulge beneath the vaginal wall. The size and extension of the cyst can be confirmed by radiological imagings and later on by histopathological. In sympatomaticpatients marsupialization or excision of Gartner duct cysts are usually done.
References
1. Rios SS, Pereira LC, Santos CB, Chen AC, Chen JR, de Fátima B Vogt M. Conservative treatment and follow up of vaginal Gartner’s duct cysts: a case series. J Med Case Rep. 2016;10:147. doi:10.1186/ s13256-016-0936-1.
2. Sheih CP, Li YW, Liao YJ, Chiang CD. Small ureterocele-like Gartner’s duct cyst associated with ipsilateral renal dysgenesis: report of two cases. J Clin Ultrasound. 1996 Nov-Dec;24(9):533-5. doi:10.1002/ (SICI)1097-0096(199611/12)24:9<533::AID JCU6>3.0.CO;2-1. [PubMed]
3. Department of Urology, University of Kansas Medical Center, Kansas City, KS, USA.
4. Inocencio G, Azevedo S, Braga A, Joao A. Large Gartner cyst. BMJ Case Rep. 2013;2013. doi:10.1136/ bcr-2012-007996.
5. Vaginal cysts. (2023). Accessed: May 20, 2023: https://www.mountsinai.org/health-library/ diseases-conditions/vaginal-cysts.
6. Pradhan S, Tobon H. Vaginal cysts: a clinicopathological study of 41 cases. Int J GynecolPathol. 1986;5(1):35-46.
7. Junaid TA, Thomas SM. Cysts of the vulva and vagina: a comparative study. Int J Gynaecol Obstet. 1981;19(3):239-43.
8. Letizia MJ, Kelly JV. Case report: gartner’s duct cyst. Emerg Med News. 2011;33:35.
9. Akkawi R, Valente AL, Badawy SZA. Large mesonephric cyst with acute adnexal torsion in a teenage girl. J PediatrAdolesc Gynecol. 2012;25(6):143-5. doi:10.1016/j.jpag.2012.09.004. [PubMed]
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
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Cite this article
Nalini Sharma, Yapi Marging, Ahanthem Santa Singh et al. A Large Gartner Cyst in an unmarried 17 years old female:
A Case Report. Indian J Obstet Gynecol. 2024;12(2):87-89.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
A-C: Ultrasound TAS image showing a well defined longitudinal cystic lesion of 7.34(CC)×2.24(AP)×3.37(TR) in anterior vaginal wall with most probability of being gartner duct cyst
3 A-B: A - showing cyst with fibrocollagenous tissue and muscle bundles on H&E at 40X magnification, B - cuboidal epithelium lining the cyst wall on H&E at 400X magnification