Symptomatic Giant Gartner's Duct Cyst of the Vagina

Abstract

Background: Gartner's duct cysts are remnants of Wolffian ducts, which are usually found in the upper anterolateral part of the vagina. Gartner's cysts are remnants of mesonephric (Wolffian) ducts, which, in women are present in the uterus, vagina, and hymen until the third month of gestation and which give rise to the ureter. Remnants of the Gartner duct may be detected in up to one fourth of adult women, although Gartner's cysts arise only in approximately 1%–2% of the population. Most Gartner's cysts are small (< 3 cm), and they are usually paravaginal and in the anterolateral position; however, they can be large and cause urethral or even ureteric obstruction. Infrequently, giant Gartner's duct cyst has been reported in the literature.