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

Lauren Quinto, Cristina Wallace Huff, Sarah M. Page-Ramsey

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)387-390
Number of pages4
JournalObstetrics and gynecology
Volume140
Issue number3
DOIs
StatePublished - Sep 1 2022

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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