CASE REPORT: GARTNER’S DUCT CYST PRESENTING AS ABDOMINAL MASS
Dr. Shalini Shakarwal*, Dr. Preeti Singh, Dr. Latika Sahu, Dr. Sarah and Dr. Madiha
ABSTRACT
Background: In both male and female genital organs develops from two duct systems, paramesonephric duct (mullerian) in female and mesonephric duct (wolffian) in males. In female destined embryo the mesonephric duct regress. There might be remnant of the mesonephric duct or Wolffian duct in females in of forms cyst called Gartner's duct cyst. Usually these cysts are asymptomatic, less then 2 cm in size. But sometimes these cysts grow larger in size arising from anterolateral wall of vagina and present with vaginal mass/ prolapse causes concern to patient as something coming out of vagina, dyspareunia and voiding disturbances. Diagnosis is made by pelvic examination and managed with vaginal cystectomy. case: This case is a case 42 years old female presented to OPD with complains of large abdominal mass, dull pain with vaginal fullness and foul-smelling pus discharge per vaginum which was manged by vaginal and abdominal cystectomy with hysterectomy for fibroid uterus after giving systemic antibiotic for 15 days. It was unusual and surgical management was a great challenge to us. Conclusion: On operating a big size Gartner’s duct cyst, a well-planned route and extent of surgical procedure is required along with adequately arranged blood products as haemorrhage is a problem while excision because of close proximity to uterine and ovarian blood vessels.
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