Gartner duct cysts are embryologic remnants of the mesonephric ducts that may present as a vaginal mass or cyst.
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.
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.
A large Gartner duct cyst may mimic pelvic organ prolapse and should be considered in the differential diagnosis for a large vaginal bulge if physical examination findings are inconsistent with usual pelvic organ prolapse.
Cleveland Clinic, Cleveland, Ohio; and Duke University, Durham, North Carolina.
Corresponding author: Emily R. W. Davidson, MD, 9500 Euclid Avenue, A81, Cleveland, OH 44195; email: firstname.lastname@example.org.
Financial Disclosure The authors did not report any potential conflicts of interest.
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