Unusual Growth Protruding from Patient's Vagina

​BY MATTHEW​ J. LETIZIA, DO; & JOSEPH V. M. KELLY, MD, MBA ​A 19-year-old woman with no past medical or surgical history presented to the emergency department stating that she had noticed a growth protruding from her vagina. It has been painless except during intercourse and constant in all characterizations since detection three days earlier. She denies vaginal bleeding, urinary retention, incontinence, fever, injury, and back, abdominal, and pelvic pain.​Her vital signs are normal, but her physical examination was significant for a 2.5 cm x 4 cm stalk-like, pedunculated, fluctuant, nontender, mobile, cystic-appearing mass protruding from the right anterolateral vaginal wall. The rest of the genitourinary and abdominal systems were without notable abnormalities and pathology. A blood sample sent to the lab failed to note leukocytosis, and urinalysis and pregnancy tests were negative. A supporting ultrasound was obtained, a Gartner's duct cyst was diagnosed, and gynecological follow-up was made for marsupialization to prevent a recurrence.Gartner's ducts are identified in approximately 25 percent of all adult women, and nearly one percent evolves into Gartner's duct cysts. The mesonephric (Wolffian) ducts develop during embryological development, form their predetermined structures, and later regress. Remnants often remain, however, until they develop a secretory mechanism, cause dilation of surrounding cells, and yield a Gartner's duct cyst, most often durin...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research