Rare Case of Vulvar Fibroid with Cystic Degeneration Mimicking Bartholin Cyst

Abstract

Vulvar swelling is a common condition in the reproductive age group of women. The most common vulvar swelling is a Bartholin cyst or abscess, which is unilateral. The rarest presentation of vulvar swelling is Leiomyoma, which is like a Bartholin cyst. The common symptom of vulvar Leiomyoma is discomfort during walking, voiding, or coitus, otherwise asymptomatic. Here we present a rare case of vulvar fibroid mimicking a Bartholin cyst as the patient presented with swelling in the vulva, which was gradual in onset and associated with pain. Following which patient was investigated further and managed with surgical excision and marsupialization. Therefore, we should also rule out the rarest form of any condition. Here, we provisionally diagnosed a vulvar leiomyoma as a Bartholin cyst, which was confirmed by Histopathology of excised specimen.