What Does A Vaginal Cyst Look Like

A. General features. The vagina extends from the cervix to the vestibule. It is the longest part of the birth canal. The degree to which it can distend during childbirth is limited by the ischial spines and sacrospinous ligaments. It forms a recess around the cervix called the fornix. The fornix is divided into three regions:

1. The anterior fornix is located anterior to the cervix. It is related to the vesicouterine pouch. On digital examination, the urinary bladder is palpable through the anterior fornix.

2. The lateral fornices are located lateral to the cervix.

3. The posterior fornix is located posterior to the cervix. On digital examination, the rectum, sacral promontory (vertebral body SI), and coccyx are palpable through the posterior fornix. It is a site for culdocentesis and is related to the rectouterine pouch of Douglas.

B. Clinical considerations

1. In culdocentesis, a needle is passed through the posterior fornix into the rectouterine pouch of the peritoneal cavity to obtain a fluid sample for analysis or to collect oocytes for in vitro fertilization. This procedure provides diagnostic information for many gynecologic conditions (e.g., pelvic inflammatory disease, ectopic tubal pregnancy).

2. Cystocele is herniation of the urinary bladder into the anterior wall of the vagina.

3. Rectocele is herniation of the rectum into the posterior wall of the vagina.

A. The labia majora are two folds of hairy skin with underlying fat pads.

B. The labia minora are two folds of hairless skin located medial to the labia majora. They enclose the vestibule of the vagina. Each labium minus is continuous anteriorly with the prepuce of the clitoris and the frenulum of the clitoris and posteriorly with the fourchette, which connects the labia minora with the vaginal introitus (entry).

C. The vestibule of the vagina is the space between the labia minora. It contains the urethral orifice; the paraurethral glands (glands of Skene); the vaginal introitus, which is incompletely covered by the hymen; the greater vestibular glands of Bartholin; and the lesser vestibular glands.

D. The clitoris is homologous with the penis, but it has no corpus spongiosum and does not transmit the urethra. The body of the clitoris is formed by two corpora caver-

Figure 14-2. (A) The female genitalia. (B) Diagram of a Bartholin cyst (BC) on the left side of the vestibule of the vagina. This cyst is caused by an obstruction of the duct from the greater vestibular glands (of Bartholin). (A adapted with permission from Snell RS: Clinical Anatomy for Medical Students, 5th ed. Boston, Little Brown, 1995, p 364; B adapted with permission from Callahan TL, Caughey AB, Heffner LJ: Blueprints in Obstetrics & Gynecology Maiden, MA, Blackwell, 1998, p 103.)

V. EXTERNAL GENITALIA (Figure 14-2)

Vaginal Cyst

Figure 14-2. (A) The female genitalia. (B) Diagram of a Bartholin cyst (BC) on the left side of the vestibule of the vagina. This cyst is caused by an obstruction of the duct from the greater vestibular glands (of Bartholin). (A adapted with permission from Snell RS: Clinical Anatomy for Medical Students, 5th ed. Boston, Little Brown, 1995, p 364; B adapted with permission from Callahan TL, Caughey AB, Heffner LJ: Blueprints in Obstetrics & Gynecology Maiden, MA, Blackwell, 1998, p 103.)

Union of labia majora

Union of labia majora

Vestibule Cavity Labia

Figure 14-3. (A) CT scan showing invasive cervical carcinoma. Note that the posterior margin of the contrast-filled urinary bladder (Bl) is compressed because of the tumor mass (M) of the cervical carcinoma. (B) Radiograph of a calcified uterine fibrinoid (leiomyoma). Fibrinoids appear as nodules with a whorled pattern and often are calcified. A very large fibrinoid may occupy the entire pelvic cavity or may even extend into the abdomen. [A reprinted with permission from Gross BH, Callen PW: Ultrasound in the uterus. In Callen PW (ed): Ultrasonography in Obstetrics and Gynecology Philadelphia, WB Saunders, 1983; B reprinted with permission from Eisenberg RL: Gastrointestinal Radiology: A Pattern Approach. Philadelphia, JB Lippincott, 1983.]

Gartner Cyst Radiology Images
nosa, which are continuous with the crura. The glans of the clitoris is formed by the fusion of the vestibular bulbs.
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Responses

  • Eemil
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    2 years ago
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