A Large Mullerian Cyst With Pressure Symptoms: A Case Report

Abstract

Mullerian cysts are of embryological origin and are usually found incidentally during delivery or a routine gynecological examination. They remain asymptomatic unless they become large enough to cause heaviness or pressure on the surrounding structures. Here, we present the case of a large 8 × 5 cm vaginal cyst that presented with bladder and bowel pressure symptoms. Complete vaginal cyst excision through the vaginal route was done to prevent its recurrence. The histopathology report showed ciliated columnar mucinous epithelium and confirmed the vaginal cyst as a cyst of Mullerian origin.

Rare co-occurrence of a Mullerian cyst and a Gartner's duct cyst

“…Occasionally, some of this epithelium persists in the vagina and forms a cyst over time. 4 On the other hand, in males, Mullerian ducts regress with the release of the anti-Mullerian hormone and under the influence of testosterone, Woffian ducts form internal genitalia. Additionally, Wolffian ducts also contribute to the development of the metanephric urinary system in both sexes.…”