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Gartner's Duct Cyst

Gartner Duct Cyst


Presentation

  • Although 2 cysts were found to communicate with the vagina, 4 presented as a closed space. All resected kidneys were more dysplastic than those with vaginal ectopia without cyst formation.[ncbi.nlm.nih.gov]
  • Most of the case series presented in the literature typically present patients who were treated surgically [ 8 ]. The follow-up of these patients ranged from 2 to 17 years.[doi.org]
  • A case of Gartner's duct cyst presenting like an ureterocele on sonography, intravenous pyelography and CT are described.[ncbi.nlm.nih.gov]
  • We present a case of a pregnant patient with a prolapsing vaginal mass. A diagnosis of Gartner duct cyst was made after MRI was performed. The Gartner duct cyst was drained when the patient went into labour allowing vaginal delivery to be performed.[ncbi.nlm.nih.gov]
  • They usually present as one of these three entities in the newborn: paraurethral cysts (Skene duct cysts), Gartner duct cysts (mesonephric ductal remnants) or a covered ectopic ureter.[ncbi.nlm.nih.gov]
Collapse
  • The cyst wall was left untouched to allow for its spontaneous collapse. Although 2 cysts were found to communicate with the vagina, 4 presented as a closed space.[ncbi.nlm.nih.gov]
  • Twenty-four hours later the injected tetracycline was re-aspirated until the cyst walls collapsed.[justanswer.com]
Weight Loss
  • The presenting symptoms were urinary incontinence, urinary tract infection, a vaginal mass or weight loss. All but 1 patient had a mass protruding into the vagina. In 5 cases nephroureterectomy was performed successfully.[ncbi.nlm.nih.gov]
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Malignant Pleural Effusion
  • Tetracycline sclerotherapy has been used for a long time in the treatment of malignant pleural effusion [4]. Aspiration and sclerotherapy has also been used successfully for the treatment of vaginal hydrocele with minimal complications.[justanswer.com]
Pleural Effusion
  • Tetracycline sclerotherapy has been used for a long time in the treatment of malignant pleural effusion [4]. Aspiration and sclerotherapy has also been used successfully for the treatment of vaginal hydrocele with minimal complications.[justanswer.com]
Epigastric Pain
  • This was discovered when the right kidney was not identified in an examination for epigastric pain. CT and MRI proved useful in the diagnosis. An MRI showed a tubular structure ascending from the cyst and a complication of a bicornate uterus.[ncbi.nlm.nih.gov]
Left Lower Quadrant Pain
  • Clinical History A 30-year-old woman presented to the emergency room with left lower quadrant pain for the last two weeks. Purulent vaginal discharge and urinary retention appeared additionally in the last 24 hours.[eurorad.org]
Frigidity
  • In clitoral and hymenal Gartner cysts, injuries to the sensory nerves of erogenous areas as well as removal of much skin may result in sexual frigidity or loss of orgasm during sexual intercourse. which is very frustrating for both wife and her husband[justanswer.com]
Adnexal Mass
  • When the cysts are of parovarian origin, they will mimic other fluid-filled adnexal masses, and no specific diagnosis can be made. When alongside the vagina or cervix, however, their ultrasonographic appearance is probably characteristic.[ncbi.nlm.nih.gov]

Workup

Pleural Effusion
  • Tetracycline sclerotherapy has been used for a long time in the treatment of malignant pleural effusion [4]. Aspiration and sclerotherapy has also been used successfully for the treatment of vaginal hydrocele with minimal complications.[justanswer.com]

Treatment

  • This study shows that conservative treatment can be a safe option for asymptomatic patients with vaginal Gartner’s duct cysts.[doi.org]
  • Marsupialization is recommended as an adequate method of treatment.[ncbi.nlm.nih.gov]
  • As the patient was asymptomatic, the patient was followed without treatment.[ncbi.nlm.nih.gov]
  • For early detection and treatment of unilateral obstruction of duplicated müllerian ducts pelvic sonography should be performed at puberty, especially just after menarche, in girls with renal dysgenesis and ipsilateral Gartner's duct cyst.[ncbi.nlm.nih.gov]
  • This study shows that conservative treatment can be a safe option for asymptomatic patients with vaginal Gartner's duct cysts.[ncbi.nlm.nih.gov]

Prognosis

  • Symptoms dyspareunia difficulty inserting tampons Pelvic exam cyst on the anterior or lateral vaginal wall Histology nonmucinous cuboidal or columnar epithelium Differential diagnosis Bartholin cyst: usually posterolateral vagina urethral diverticulum Prognosis[medbullets.com]
  • Review of the literature regarding etiology, clinical and pathological diagnosis, prognosis and treatment identified 18 journal articles and 6 books.[doi.org]
  • MRI Signal characteristics include: T1: can be of variable signal T2: often of uniform hyperintensity on T2-weighted imaging although can occasionally vary dependent on protein content, may also be heterogeneous when infected Treatment and prognosis Infected[radiopaedia.org]
  • Outlook (Prognosis) Most of the time, the outcome is good. Cysts often remain small and do not need treatment. When surgically removed, the cysts usually do not return. Bartholin cysts can sometimes recur and need ongoing treatment.[stlukes-stl.com]

Etiology

  • The etiology and pathogenesis of the anomaly are unknown but some speculations are made.[ncbi.nlm.nih.gov]
  • Review of the literature regarding etiology, clinical and pathological diagnosis, prognosis and treatment identified 18 journal articles and 6 books.[doi.org]
  • (Etiology) During fetal growth and development, the formation of Gartner ducts or mesonephric ducts on the vaginal walls take place.[dovemed.com]
  • The appearance and location on physical exam assists in determining the etiology of the vaginal cyst.[exxcellence.org]
  • Histologically, the polyps are composed of a squamous epithelial surface with a fibrovascular stalk and edematous stroma. 4, 5 Proposed etiologies include stromal proliferation or granulation tissue reaction as a result of local injury.[glowm.com]

Epidemiology

  • We provide invaluable learning opportunities for attending medical students and research opportunities in biomedical, clinical and epidemiological research across all disciplines.[sydney.edu.au]
Sex distribution
Age distribution

Pathophysiology

  • This includes the disciplines of pathology, cytology, cytogenetics, preventive medicine, basic research, gynecologic oncology, and endocrinology which are relevant to the understanding of the pathophysiology of the disease processes of the lower genital[books.google.com]

Prevention

  • This includes the disciplines of pathology, cytology, cytogenetics, preventive medicine, basic research, gynecologic oncology, and endocrinology which are relevant to the understanding of the pathophysiology of the disease processes of the lower genital[books.google.com]
  • Prevention of neural tube defects: results of the Medical Research Council Vitamin Study. ‏[books.google.com]
  • After a supporting ultrasound was obtained, a Gartner's duct cyst was diagnosed, and a gynecological follow-up was made for marsupialization to prevent a recurrence.[journals.lww.com]
  • Current medical research has not established a method of preventing Gartner Duct Cysts of Vagina In case of a secondary infection it is better to avoid sex, as it may aggravate the condition However, medical screening at regular intervals with scans and[dovemed.com]
  • Prevention The growth of vaginal cysts is difficult to prevent. Prevention should focus less on stopping cyst formation as on keeping the vagina as clean as possible. Practicing safe sex can help prevent infection from sexually transmitted diseases.[medicalnewstoday.com]

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