Intracystic hemorrhage in a non-endometriotic mullerian vaginal cyst

Congenital and gynecological tumors: A review

Congenital tumors are rare, and malignant congenital tumors are uncommon. Benign tu,mors might be life-threatening, depending on the location and size of the tumor. Different factors affect congenital tumors, such as maternal and placental hormones and environmental factors such as drugs, radiation, and infection. Developing fetal imaging methods and continuous follow-up during pregnancy are important factors in congenital tumor prognosis. Ultrasound is the most common method used for fetal evaluation. The complementary evaluation method is MRI. Both methods are helpful and widely spread for the detection of congenital tumors. These imaging methods help the medical team make a suitable decision about therapy. Some of these tumors regressed spontaneously, and some need surgical treatments. Treatment of tumors has developed rapidly, and recently molecular-targeted drugs have been used.

A Large Mullerian Cyst With Pressure Symptoms: A Case Report

Mullerian cysts are of embryological origin and are usually found incidentally during delivery or a routine gynecological examination. They remain asymptomatic unless they become large enough to cause heaviness or pressure on the surrounding structures. Here, we present the case of a large 8 × 5 cm vaginal cyst that presented with bladder and bowel pressure symptoms. Complete vaginal cyst excision through the vaginal route was done to prevent its recurrence. The histopathology report showed ciliated columnar mucinous epithelium and confirmed the vaginal cyst as a cyst of Mullerian origin.

Acute Pelvic Pain Due to Spontaneous Hemorrhage of a Gartner Duct Cyst

BACKGROUND

Gartner duct cysts develop from mesonephric duct remnants. They are usually small and asymptomatic, but complications can arise and are uncommonly reported.

CASE

A 44-year-old patient presented with acute pelvic pain and pressure, a new vaginal mass, and urinary retention. Examination and magnetic resonance imaging revealed a large, expanding, complex paravaginal mass with extension into the paracervical and ischiorectal spaces, causing cephalad displacement of the uterus. A vaginal approach to cyst incision, hemorrhage control, and marsupialization resulted in complete resolution of symptoms. Pathology demonstrated a Gartner duct cyst without evidence of malignancy.

CONCLUSION

Spontaneous hemorrhage of a Gartner duct cyst, although rare, may cause acute symptoms and a new vaginal mass. This diagnosis should be considered in the evaluation of acute-onset pelvic pressure and pain.