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Case Reports in Obstetrics and Gynecology
Volume 2015 (2015), Article ID 376834, 3 pages
http://dx.doi.org/10.1155/2015/376834
Case Report

Müllerian Cyst of the Vagina Masquerading as a Cystocele

1Department of Gynecology and Oncology, İzmir Tepecik Education and Research Hospital, 35330 İzmir, Turkey
2Department of Pathology, İzmir Tepecik Education and Research Hospital, 35330 İzmir, Turkey

Received 25 September 2014; Revised 16 January 2015; Accepted 18 January 2015

Academic Editor: Babatunde A. Gbolade

Copyright © 2015 Emrah Töz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Müllerian cysts are usually small, ranging from 0.1 to 2 cm in diameter. Rarely, they may be enlarged and mistaken for other structures, such as a cystocele or urethral diverticulum. We report on a female with symptomatic vaginal wall prolapse, diagnosed as a vaginal Müllerian cyst, which was originally misdiagnosed as a cystocele. The mass was soft and could be compressed manually without difficulty. Perineal ultrasonography and cystoscopy revealed no relationship between the cyst and the lower urinary tract, suggesting independence of the lesion. We performed surgical treatment with complete excision of the mass via a vaginal approach under spinal anaesthesia. The pathology result confirmed a benign Müllerian cyst lined with mucinous and squamous epithelium. When evaluating an anterior vaginal cyst, assessment of the lesion via history taking and pelvic examination is important to confirm both lesion size and location. Perineal ultrasonography performed with an empty bladder is useful to differentiate such vaginal cysts and to define their communication, if any, with adjacent organs.