Lallar Meenakshi, Nandal Rajesh, Sharma Deepak, Shastri Sweta
Department of Obstetrics and Gynaecology, SHKM Medical College, Mewat, Haryana, India.
Department of Pediatrics, Artemis Health Institute, Gurgaon, Haryana, India.
BMJ Case Rep. 2015 Jan 20;2015:bcr2014208874. doi: 10.1136/bcr-2014-208874.
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.
一名20岁初产妇在分娩时,子宫收缩期间有一肿物自阴道突出。该肿物为一个来自阴道后壁的、大小为8×8cm的巨大张力性囊肿。该囊肿自青春期起就存在,但在孕期增大。抽吸后囊肿塌陷,随后顺利经阴道分娩。产后,囊肿被切除,阴道壁得以修复。组织病理学检查显示该囊肿为苗勒管囊肿。患者康复,随访期间无任何症状。