Transvaginal ultrasonographic depiction of a Gartner duct cyst

Gartner duct cysts, the most common benign cystic lesion of the vagina, rep resent embryologic remnants of the caudal end of the mesonephric (wolffian) duct.(1) These cysts are usually small and asymptomatic and have been repo rted to occur in as many as 1% of all women.(1,2) Because the ureteral bud also develops from the wolffian duct, it is not su rprising that Gartner duct cysts have been associated with ureteral and ren al abnormalities, including congenital ipsilateral renal dysgenesis or agen esis, crossed fused renal ectopia, and ectopic ureters.(1,3-7) In addition, associated anomalies of the female genital tract, including structural ute rine anomalies (ipsilateral mullerian duct obstruction, bicornuate uteri, a nd uterus didelphys) and diverticulosis of the fallopian tubes, have been d escribed.(6,8,9) Transabdominal and transrectal ultrasonographic depiction of Gartner duct c ysts have been reported previously.(2,5,7,10) Here we report the transvagin al ultrasonographic findings of this condition.