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Anterior vaginal cyst mimicking pelvic organ prolapse: Case report and literature review

INTRODUCTION AND IMPORTANCE: Large Anterior vaginal cysts can manifest as symptomatic genital prolapse, posing a diagnostic challenge due to their uncommon clinical presentation. CASE PRESENTATION: A 22-year-old primiparous woman with no previous medical history is admitted for delivery. Examination...

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Autores principales: Benlghazi, Abdelhamid, Belouad, Moad, Bouhtouri, Yassine, Benali, Saad, El Hassani, Moulay Mehdi, Kouach, Jaouad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550583/
https://www.ncbi.nlm.nih.gov/pubmed/37788530
http://dx.doi.org/10.1016/j.ijscr.2023.108868
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author Benlghazi, Abdelhamid
Belouad, Moad
Bouhtouri, Yassine
Benali, Saad
El Hassani, Moulay Mehdi
Kouach, Jaouad
author_facet Benlghazi, Abdelhamid
Belouad, Moad
Bouhtouri, Yassine
Benali, Saad
El Hassani, Moulay Mehdi
Kouach, Jaouad
author_sort Benlghazi, Abdelhamid
collection PubMed
description INTRODUCTION AND IMPORTANCE: Large Anterior vaginal cysts can manifest as symptomatic genital prolapse, posing a diagnostic challenge due to their uncommon clinical presentation. CASE PRESENTATION: A 22-year-old primiparous woman with no previous medical history is admitted for delivery. Examination revealed a cystic mass on the anterior vaginal wall. Perineal ultrasound confirmed an independent cyst measuring 45x40x35 mm. The cyst was successfully aspirated, and the patient delivered without complications. At 12 months, the cyst reappeared, requiring vaginal surgical excision. Histological examination identified a Gartner cyst. During follow-up at 6 and 12 months, the patient remained asymptomatic. CLINICAL DISCUSSION: Vaginal cysts typically present as small, solitary, and symptomless. However, they can grow in size, mimicking other conditions and often being misdiagnosed as cystoceles. Consequently, surgical excision of the vaginal cysts is the preferred treatment option, yielding positive anatomical outcomes and high patient satisfaction levels. CONCLUSIONS: In this report, we describe a rare case of a Gartner cyst found on the anterior vaginal wall. The report also underscores the crucial role of imaging in accurately identifying the cyst's location, assessing its association with adjacent tissues, and guiding the surgeon in devising an effective operative plan.
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spelling pubmed-105505832023-10-06 Anterior vaginal cyst mimicking pelvic organ prolapse: Case report and literature review Benlghazi, Abdelhamid Belouad, Moad Bouhtouri, Yassine Benali, Saad El Hassani, Moulay Mehdi Kouach, Jaouad Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Large Anterior vaginal cysts can manifest as symptomatic genital prolapse, posing a diagnostic challenge due to their uncommon clinical presentation. CASE PRESENTATION: A 22-year-old primiparous woman with no previous medical history is admitted for delivery. Examination revealed a cystic mass on the anterior vaginal wall. Perineal ultrasound confirmed an independent cyst measuring 45x40x35 mm. The cyst was successfully aspirated, and the patient delivered without complications. At 12 months, the cyst reappeared, requiring vaginal surgical excision. Histological examination identified a Gartner cyst. During follow-up at 6 and 12 months, the patient remained asymptomatic. CLINICAL DISCUSSION: Vaginal cysts typically present as small, solitary, and symptomless. However, they can grow in size, mimicking other conditions and often being misdiagnosed as cystoceles. Consequently, surgical excision of the vaginal cysts is the preferred treatment option, yielding positive anatomical outcomes and high patient satisfaction levels. CONCLUSIONS: In this report, we describe a rare case of a Gartner cyst found on the anterior vaginal wall. The report also underscores the crucial role of imaging in accurately identifying the cyst's location, assessing its association with adjacent tissues, and guiding the surgeon in devising an effective operative plan. Elsevier 2023-09-30 /pmc/articles/PMC10550583/ /pubmed/37788530 http://dx.doi.org/10.1016/j.ijscr.2023.108868 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Benlghazi, Abdelhamid
Belouad, Moad
Bouhtouri, Yassine
Benali, Saad
El Hassani, Moulay Mehdi
Kouach, Jaouad
Anterior vaginal cyst mimicking pelvic organ prolapse: Case report and literature review
title Anterior vaginal cyst mimicking pelvic organ prolapse: Case report and literature review
title_full Anterior vaginal cyst mimicking pelvic organ prolapse: Case report and literature review
title_fullStr Anterior vaginal cyst mimicking pelvic organ prolapse: Case report and literature review
title_full_unstemmed Anterior vaginal cyst mimicking pelvic organ prolapse: Case report and literature review
title_short Anterior vaginal cyst mimicking pelvic organ prolapse: Case report and literature review
title_sort anterior vaginal cyst mimicking pelvic organ prolapse: case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550583/
https://www.ncbi.nlm.nih.gov/pubmed/37788530
http://dx.doi.org/10.1016/j.ijscr.2023.108868
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