Journal of
eISSN: 2373-4426
Submit manuscript...
Case Report Volume 16 Issue 2
Giant gartner’s cyst on the lateral vaginal wall: case report and literature review
Frade-Flores Ricardo, Regina Ruiz Lopez, Velasco-Sordo Roberto, Garcia Campos Gabriela, Muñoz De Cote Frade Jose Manuel
Received: July 14, 2026 | Published: July 25, 2026
Citation: Frade-Flores R, Lopez RR, Velasco-Sordo R, et al. Giant gartner’s cyst on the lateral vaginal wall: case report and literature review. J Pediatr Neonatal Care. 2026;16(2):113-115. DOI: 10.15406/jpnc.2026.16.00629
Abstract
Introduction: Gartner’s cyst is an embryonic remnant of the wolff mesonephric ducts, presenting with an unknown prevalence estimated in 1-2% of women. The reported size is generally for cysts smaller than 1 centimeters in diameter, however there are reports of larger and symptomatic cysts. Materials and method: Descriptive, report of a case and brief bibliographic review. A 39-year-old woman with a history of hypothyroidism and three previous myomectomies presented with a symptomatic left vaginal mass causing a sensation of a vaginal bulge, urinary difficulty, mild pelvic pain, and dyspareunia. Physical examination revealed a firm, non-tender, non-reducible 5-cm paravaginal mass. Transvaginal ultrasound demonstrated a 34 × 19 × 37 mm avascular cystic lesion arising from the left vaginal wall, consistent with a Gartner’s duct cyst. Complete surgical excision was performed through a vaginal approach following identification of a submucosal dissection plane, allowing preservation of adjacent structures. The vaginal mucosa was closed with interrupted 3-0 Vicryl® sutures, with an estimated blood loss of 200 mL and an operative time of approximately 1 hour. Histopathological examination confirmed the diagnosis of Gartner’s duct cyst. The postoperative course was uneventful. Discussion: Gartner’s cyst is a remnant of embryonic tissue from mesonephric ducts, affects approximately 1-2% of the population. Its diagnosis is mainly in reproductive age, which may affect the quality of life as well as being associated with malformations of the urinary tract. Gartner’s cyst is a benign mass, however there are few reports in the literature, being in 2009 reported by Anne Sophie Bats a malignant cyst presenting adenocacinoma reported by the pathology service inside, associated with hypervascularity. The surgical approach is usually reserved for patients with symptoms, however, there is no standardized surgical approach technique. Drainage of the cyst is reported by puncture, marsupialization, partial excision, cyst aspiration, and even intracystic injection with fluorescein. Conclusions: The reported cyst In this case, She was clinically diagnosed by symptoms associated with alterations in urination, as well as a sensation of a foreign body at the vaginal level and dyspareunia. An ultrasound scan was performed without alteration of urinary tract. The approach was adhered to the treatment described in the literature with adequate aesthetic functional results, no trans-surgical or post-surgical complications were reported.
Keywords: gartner’s duct cyst, vaginal cyst, lateral vaginal wall, mesonephric duct remnant, vaginal mass, surgical excision, transvaginal ultrasonography
©2026 Frade-Flores, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.