Vaginal cysts are often encountered in gynaecological outpatient settings. These are usually asymptomatic in their initial course but become symptomatic when their size increases or they get infected. While evaluating such cases, clinical examination plays a vital role in ruling out their differential diagnoses. Imaging studies can complement clinical findings. However, in some instances, the nature of vaginal cysts may not be determined preoperatively until histopathology examination reveals it. We report here a rare case of a posterior vaginal wall cyst that presented as a mass protruding through the vagina. The clinical dilemma was the characterization of the cyst, owing to its huge size and rare location. The cyst was managed surgically by excision, and to our surprise, histopathological examination revealed it as a Bartholin gland cyst in the posterior vaginal wall, rare in its location.
Introduction: While vulvar masses are not prevalent in society, they are one of the reasons for complaints that arise during visits to gynecology outpatient clinics. An excision is typically necessary for both the purpose of diagnosing and treating the condition.
Methods: We documented three exceptional instances with distinct histopathological diagnoses and varying presentations, as well as a consecutive series of five patients, including one Bartholin abscess and one labia major abscess.
Laboratorio Nacional de Referencia de Meningitis e Infecciones Respiratorias Bacterianas, Servicio Bacteriología Clínica, INEI-ANLIS «Dr. Carlos G. Malbrán», Ciudad Autónoma de Buenos Aires, Argentina.
Bartholinitis is the inflammation and infection of the Bartholin's glands that results from the accumulation of mucus in their ducts, the most frequent causal microorganisms being anaerobic and aerobic bacteria and those responsible for sexually transmitted infections. Those caused by agents not belonging to the genital microbiota are less frequent. Likewise, in most cases the diagnosis is clinical.
Objective: The objective of this video is to review a case of a patient that presented to urogynecology clinic for prolapse but was noted to have anterior vaginal cyst. In this video, we review differential diagnosis, embryologic origin of vaginal cyst, excision procedure, imaging, and pathology of the vaginal cyst.
Setting: Urogynecology clinic/operating room PARTICIPANT: Patient who presented with anterior vaginal cyst INTERVENTION: Thirty-four-year-old G0 referred to Urogynecology for a vaginal bulge.
Vulvar leiomyomas are rare benign tumors originating from smooth muscle cells of the vulvar tissue. This report concerns a 31-year-old woman who presented with a painless vulvar mass measuring 5 × 4 cm. The mass was clinically diagnosed as a Bartholin cyst due to its non-tender and soft nature, and as a result the patient underwent wide local excision of the vulvar mass.
Concomitant with the rupture of the cloacal membrane, the perineal skin epithelium thickens (see accompanying article). In this study, we establish in female embryos and foetuses that the thick skin area divides into ventral and dorsal areas at ~14 weeks and gradually becomes restricted to the vaginal vestibule and anal canal thereafter. The dense mesenchymal core of the labia minora, which forms at ~8 weeks, extends dorsally to the anal canal as a midline reinforcement.
