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Case Reports
. 2015 Jan 20:2015:bcr2014208874.
doi: 10.1136/bcr-2014-208874.

Large posterior vaginal cyst in pregnancy

Affiliations
Case Reports

Large posterior vaginal cyst in pregnancy

Meenakshi Lallar et al. BMJ Case Rep. .

Abstract

A 20-year-old primigravida presented in labour with a mass protruding from her vagina during uterine contractions. The mass was a large tense cyst measuring 8 × 8 cm arising from the posterior vaginal wall. The cyst was present since puberty but increased in size during pregnancy. It collapsed following aspiration and uneventful vaginal delivery was conducted. Following delivery, the cyst was excised and vaginal wall repaired. On histopathology the cyst was identified as a Müllerian cyst. The patient recovered and remained asymptomatic on follow-up.

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Figures

Figure 1
Figure 1
Posterior vaginal wall cyst prolapsing through vaginal introitus during uterine contraction.
Figure 2
Figure 2
Vaginal cyst collapsed after aspiration of fluid.
Figure 3
Figure 3
Episiotomy performed sparing the collapsed cyst wall.
Figure 4
Figure 4
Repaired and reconstructed posterior vaginal wall mucosa after excision of cyst and overlying excess vaginal mucosa, along with the unsutured episiotomy.

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