Gartner’s cyst

Gartner’s cyst

Q. 1

A girl presents, with cystic swelling at the junc­tion of lower 1/3rd and upper 2/3rd of anterior wall of vagina at 10 0′ Clock position. The Diagnosis is :

 A

Bartholin’s cyst

 B

Gartner’s cyst

 C

Adenocarcinoma

 D

Vaginal Inclusion Cyst

Q. 1

A girl presents, with cystic swelling at the junc­tion of lower 1/3rd and upper 2/3rd of anterior wall of vagina at 10 0′ Clock position. The Diagnosis is :

 A

Bartholin’s cyst

 B

Gartner’s cyst

 C

Adenocarcinoma

 D

Vaginal Inclusion Cyst

Ans. B

Explanation:

Ans. is b i.e. Gartner’s cyst

  • Gartner’s cyst is a cyst formed in Gartner duct.
  • Gartner’s duct is a remnant of Wolffian duct.
  • The duct passes downward by the side of the uterus to the level of internal os. It then runs forward to reach the anteriolateral aspect of the vaginal wall and may reach down as far as the hymen.
  • The cyst can be diagnosed by its position as it is found on the lateral or anterolateral wall (here 10 0′ clock position) of the vagina. lnfact majority of the vaginal cysts arise from Gartner’s duct.
  • They can be distinguished from Bartholin’s cyst, urethrocele, cystocele and urethral diverticulum by their position, by the fact they do not disappear with pressure or with change of posture and by demonstrating with around or other means that they do not communicate with the bladder or urethra.

On the other hand Bartholin’s cyst arises from Bartholin’s gland which lies near the junction of middle and posterior third of labia majora therefore the cyst is also found there (not on the junction of lower 1/3 and upper 2/ 3 anterior wall of vagina).

Vaginal inclusion cyst (Shaw 14/e, p 122) is mainly seen at lower end of the vagina on its posterior surface and is caused by tags of mucosa embedding inside the scar that later forms a cyst.


Q. 2

One of the following is a congenital cyst :

 A

Inclusion cys

 B

Ovarian cyst

 C

Gartner’s cyst

 D

None

Q. 2

One of the following is a congenital cyst :

 A

Inclusion cys

 B

Ovarian cyst

 C

Gartner’s cyst

 D

None

Ans. C

Explanation:

Gartner’s cyst


Q. 3

Which among the following structure give rise to Gartner’s cyst?

 A

Remnant of paramesonephric duct

 B

Remnant of mesonephric duct

 C

Cervix

 D

Vagina

Q. 3

Which among the following structure give rise to Gartner’s cyst?

 A

Remnant of paramesonephric duct

 B

Remnant of mesonephric duct

 C

Cervix

 D

Vagina

Ans. B

Explanation:

Gartner’s duct cyst arises from incomplete regression of the vaginal portion of the Wolffian (mesonephric) ducts.

Gartner’s ducts are determined by the presence of persistent remnants of mesonephric ducts. Since the mesonephric ducts have secretory properties, cysts can develop. 

Usually, cysts located along the anterior-lateral vaginal wall, matching the Wolffian duct path, are ≤2 cm in size and asymptomatic.


Q. 4

A patient presents to you with pain and swelling in the vagina. On examination you find a bluish bulge on the posterior vaginal wall behind the cervix. The history reveals that the swelling enlarges and becomes more painful with approaching menses. What is your diagnosis?

 A

Gartner’s duct cyst

 B

Inclusion cyst

 C

Bartholins cyst

 D

Endometriotic cyst

Q. 4

A patient presents to you with pain and swelling in the vagina. On examination you find a bluish bulge on the posterior vaginal wall behind the cervix. The history reveals that the swelling enlarges and becomes more painful with approaching menses. What is your diagnosis?

 A

Gartner’s duct cyst

 B

Inclusion cyst

 C

Bartholins cyst

 D

Endometriotic cyst

Ans. D

Explanation:

Gartner’s duct cyst arises from the remnants of mesonephric duct and lies on the anterolateral aspect of vaginal wall.

It is often asymptomatic. Bartholin’s cyst protrudes into the lower part of vagina and becomes painful when infected.

Endometriotic cyst may be bluish in colour with increase in pain and size near menses.

A biopsy is confirmative and treatment is excision or suppression of menstruation.

Ref: Shaw’s Textbook of Gynecology, Page – 104


Q. 5

Which of the following is a cystic remnant of Wolffian duct?

 A

Bartholin’s cyst

 B

Gartner’s cyst

 C

Nabothian cyst

 D

Parovarian cyst

Q. 5

Which of the following is a cystic remnant of Wolffian duct?

 A

Bartholin’s cyst

 B

Gartner’s cyst

 C

Nabothian cyst

 D

Parovarian cyst

Ans. B

Explanation:

Gartner’s cyst: These uncommon vaginal cysts develop from remnants of the mesonephric (Wolffian) ducts. They are typically asymptomatic and are usually found within the lateral vaginal wall during routine examination. Symptoms however may include dyspareunia, vaginal pain, and difficulty inserting tampons or other vaginal devices. Examination reveals a tense cyst that is palpable or seen to bulge beneath the lateral vaginal wall. Observation is reasonable in most cases, although marsupialization or excision may be appropriate for symptomatic Gartner duct cysts.

Also know:

A Bartholin’s cyst is formed when a Bartholin’s gland is blocked, causing a fluid-filled cyst to develop. A Bartholin’s cyst is not an infection, although it can be caused by an infection, inflammation, or physical blockage (mucus or other impediment) to the Bartholin’s ducts (tubes which lead from the glands to the vulva).

Ref: Hoffman B.L., Schorge J.O., Schaffer J.I., Halvorson L.M., Bradshaw K.D., Cunningham F.G., Calver L.E. (2012). Chapter 4. Benign Disorders of the Lower Reproductive Tract. In B.L. Hoffman, J.O. Schorge, J.I. Shaffer, L.M. Halvorson, K.D. Bradshaw, F.G. Cunningham, L.E. Calver (Eds),Williams Gynecology, 2e.


Q. 6

Gartner’s cyst is seen in :

 A

Fallopian tube

 B

Uterus

 C

Vagina

 D

Labia

Q. 6

Gartner’s cyst is seen in :

 A

Fallopian tube

 B

Uterus

 C

Vagina

 D

Labia

Ans. C

Explanation:

C. i.e. Vagina

Gartner’s Cyst arises from remnant of mesonephric duct. & lies in anterolateral vaginal wall. It usually remain asymptomatic but may cause dyspareunia requiring excision or marsupialization.



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