Article Text

Endometriosis presenting as a vaginal mass
  1. Philippa Nelson
  1. Department of Obstetrics and Gynaecology, Logan Hospital, Meadowbrook, Queensland, Australia
  1. Correspondence to Dr Philippa Nelson, philippa_burgess{at}


A 43-year-old woman with an anterior vaginal wall mass was referred to gynaecology outpatient for diagnosis and management. Clinical assessment was indicative of a urethral diverticulum, however MRI and ultrasound imaging suggested a Gartner’s duct cyst. Following excision of the lesion, histology revealed evidence of an endometriotic cyst. The patient had no other symptoms of endometriosis and remained asymptomatic 3 months following excision. This case highlights the widespread locations in which endometrial tissue can be found, and therefore the range of symptomatology. This in turn lends itself to diagnostic difficulty without histological confirmation.

  • obstetrics and gynaecology
  • vulvovaginal disorders
  • urological surgery

Statistics from


  • Contributors PN has been the sole contributor to the conception of the case report, writing and reviewing the manuscript, and is accountable for the accuracy and integrity of the manuscript.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.