Gartner duct cyst
Updates to Article Attributes
A Gartner duct cyst develops from embryologic remnants of the Wolffian (mesonephric) duct.
Clinical presentation
When they are located in the lower vagina at the level of the urethra, they can cause mass effect on the urethra and give rise to urinary tract symptoms.
Pathology
Location
It is located in anterolateral wall of the proximal (superior) 3rd of the vagina 2 and are typically located above the level of the inferior most aspect of the pubic symphysis.
Associations
Gartner duct cysts can also be associated with abnormalities of the metanephric urinary system 4-7
- renal agenesis 7
- ipsilateral renal dysplasia 6
- cross fused ectopia 5
Radiographic features
Typically lesion as a cystic lesion arising from the anterolateral aspect of the superior vagina. They are usually small < 2cm;2 cm 3 although occasionally can get to a very large size -: several cm's.
Complications
In rare cases with larger cysts, the presence of dyspareunia and problems in obstetric delivery are described 3.
Differential diagnosis
General imaging differential considerations include:
-
Bartholin gland cyst
- their: their location at or below the level of the pubic symphysis helps to differentiate them from Gartner duct cysts. -
urethral diverticulum
-: located around the urethra
-<p>A <strong>Gartner duct cyst </strong>develops from embryologic remnants of the <a href="/articles/wolffian-duct">Wolffian (mesonephric) duct</a>.</p><h4>Clinical presentation</h4><p>When they are located in the lower vagina at the level of the urethra, they can cause mass effect on the urethra and give rise to urinary tract symptoms</p><h4>Pathology</h4><h5>Location</h5><p>It is located in anterolateral wall of the proximal (superior) 3<sup>rd</sup> of the vagina <sup>2 </sup>and are typically located above the level of the inferior most aspect of the pubic symphysis.</p><h5>Associations</h5><p>Gartner duct cysts can also be associated with abnormalities of the metanephric urinary system <sup>4-7</sup></p><ul>- +<p><strong>Gartner duct cyst </strong>develops from embryologic remnants of the <a href="/articles/wolffian-duct">Wolffian (mesonephric) duct</a>.</p><h4>Clinical presentation</h4><p>When they are located in the lower vagina at the level of the urethra, they can cause mass effect on the urethra and give rise to urinary tract symptoms.</p><h4>Pathology</h4><h5>Location</h5><p>It is located in anterolateral wall of the proximal (superior) 3<sup>rd</sup> of the vagina <sup>2 </sup>and are typically located above the level of the inferior most aspect of the pubic symphysis.</p><h5>Associations</h5><p>Gartner duct cysts can also be associated with abnormalities of the metanephric urinary system <sup>4-7</sup></p><ul>
-</ul><h4>Radiographic features</h4><p>Typically lesion as a cystic lesion arising from the anterolateral aspect of the superior vagina. They are usually small < 2cm <sup>3</sup> although occasionally can get to a very large size - several cm's.</p><h4>Complications</h4><p>In rare cases with larger cysts, the presence of dyspareunia and problems in obstetric delivery are described <sup>3</sup></p><h4>Differential diagnosis </h4><p>General imaging differential considerations include</p><ul>- +</ul><h4>Radiographic features</h4><p>Typically lesion as a cystic lesion arising from the anterolateral aspect of the superior vagina. They are usually small <2 cm <sup>3</sup> although occasionally can get to a very large size: several cm's.</p><h4>Complications</h4><p>In rare cases with larger cysts, the presence of dyspareunia and problems in obstetric delivery are described <sup>3</sup>.</p><h4>Differential diagnosis </h4><p>General imaging differential considerations include:</p><ul>
-<a href="/articles/bartholin-gland-cyst">Bartholin gland cyst</a> - their location at or below the level of the pubic symphysis helps to differentiate them from Gartner duct cysts.</li>- +<a href="/articles/bartholin-gland-cyst">Bartholin gland cyst</a>: their location at or below the level of the pubic symphysis helps to differentiate them from Gartner duct cysts.</li>
-<a href="/articles/urethral-diverticulum">urethral diverticulum</a> - located around the urethra</li>- +<a href="/articles/urethral-diverticulum">urethral diverticulum</a>: located around the urethra</li>
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