Abstract
A 46-year-old woman presented with perineal discomfort, dyspareunia, and a slowly growing mass in the perincal region. The signs and symptoms had been present for the past 6 months and had initially begun with intermittent swelling in the perineum. The patient's medical history included total abdominal hysterectomy for fibroids. The ovaries were preserved. At examination, swelling overlying the left ischial tuberosity was visible. A vaginal examination revealed a posterior mass in the left labia majorum. The mass felt cystic at palpation. Magnetic resonance (MR) imaging of the pelvis was performed.
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