Müllerian Cyst of the Vagina Masquerading as a Cystocele

Müllerian cysts are usually small, ranging from 0.1 to 2 cm in diameter. Rarely, they may be enlarged and mistaken for other structures, such as a cystocele or urethral diverticulum. We report on a female with symptomatic vaginal wall prolapse, diagnosed as a vaginal Müllerian cyst, which was origin...

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Main Authors: Emrah Töz, Muzaffer Sancı, Süheyla Cumurcu, Aykut Özcan
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2015/376834
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author Emrah Töz
Muzaffer Sancı
Süheyla Cumurcu
Aykut Özcan
author_facet Emrah Töz
Muzaffer Sancı
Süheyla Cumurcu
Aykut Özcan
author_sort Emrah Töz
collection DOAJ
description Müllerian cysts are usually small, ranging from 0.1 to 2 cm in diameter. Rarely, they may be enlarged and mistaken for other structures, such as a cystocele or urethral diverticulum. We report on a female with symptomatic vaginal wall prolapse, diagnosed as a vaginal Müllerian cyst, which was originally misdiagnosed as a cystocele. The mass was soft and could be compressed manually without difficulty. Perineal ultrasonography and cystoscopy revealed no relationship between the cyst and the lower urinary tract, suggesting independence of the lesion. We performed surgical treatment with complete excision of the mass via a vaginal approach under spinal anaesthesia. The pathology result confirmed a benign Müllerian cyst lined with mucinous and squamous epithelium. When evaluating an anterior vaginal cyst, assessment of the lesion via history taking and pelvic examination is important to confirm both lesion size and location. Perineal ultrasonography performed with an empty bladder is useful to differentiate such vaginal cysts and to define their communication, if any, with adjacent organs.
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institution Kabale University
issn 2090-6684
2090-6692
language English
publishDate 2015-01-01
publisher Wiley
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-664c24874f554f539185e750d0811be52025-02-03T00:59:06ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922015-01-01201510.1155/2015/376834376834Müllerian Cyst of the Vagina Masquerading as a CystoceleEmrah Töz0Muzaffer Sancı1Süheyla Cumurcu2Aykut Özcan3Department of Gynecology and Oncology, İzmir Tepecik Education and Research Hospital, 35330 İzmir, TurkeyDepartment of Gynecology and Oncology, İzmir Tepecik Education and Research Hospital, 35330 İzmir, TurkeyDepartment of Pathology, İzmir Tepecik Education and Research Hospital, 35330 İzmir, TurkeyDepartment of Gynecology and Oncology, İzmir Tepecik Education and Research Hospital, 35330 İzmir, TurkeyMüllerian cysts are usually small, ranging from 0.1 to 2 cm in diameter. Rarely, they may be enlarged and mistaken for other structures, such as a cystocele or urethral diverticulum. We report on a female with symptomatic vaginal wall prolapse, diagnosed as a vaginal Müllerian cyst, which was originally misdiagnosed as a cystocele. The mass was soft and could be compressed manually without difficulty. Perineal ultrasonography and cystoscopy revealed no relationship between the cyst and the lower urinary tract, suggesting independence of the lesion. We performed surgical treatment with complete excision of the mass via a vaginal approach under spinal anaesthesia. The pathology result confirmed a benign Müllerian cyst lined with mucinous and squamous epithelium. When evaluating an anterior vaginal cyst, assessment of the lesion via history taking and pelvic examination is important to confirm both lesion size and location. Perineal ultrasonography performed with an empty bladder is useful to differentiate such vaginal cysts and to define their communication, if any, with adjacent organs.http://dx.doi.org/10.1155/2015/376834
spellingShingle Emrah Töz
Muzaffer Sancı
Süheyla Cumurcu
Aykut Özcan
Müllerian Cyst of the Vagina Masquerading as a Cystocele
Case Reports in Obstetrics and Gynecology
title Müllerian Cyst of the Vagina Masquerading as a Cystocele
title_full Müllerian Cyst of the Vagina Masquerading as a Cystocele
title_fullStr Müllerian Cyst of the Vagina Masquerading as a Cystocele
title_full_unstemmed Müllerian Cyst of the Vagina Masquerading as a Cystocele
title_short Müllerian Cyst of the Vagina Masquerading as a Cystocele
title_sort mullerian cyst of the vagina masquerading as a cystocele
url http://dx.doi.org/10.1155/2015/376834
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AT muzaffersancı mulleriancystofthevaginamasqueradingasacystocele
AT suheylacumurcu mulleriancystofthevaginamasqueradingasacystocele
AT aykutozcan mulleriancystofthevaginamasqueradingasacystocele