title: Vaginal mullerian cyst presenting as a cystocele.
abstract: BACKGROUND
  Vaginal cysts occur rarely, are usually discovered incidentally on examination, and can cause a variety of symptoms.
  
  
  METHODS
  This article discusses a 34-year-old para 2 female with a large anterior vaginal wall cyst that arose at 20 weeks' gestation and was originally diagnosed as a cystocele. The unusual timing of its occurrence and the characteristics of the anterior vaginal wall prompted ancillary testing and reexamination.
  
  
  CONCLUSIONS
  The timing of onset and general characteristics of prolapse as well as defecography and magnetic resonance imaging can be used to aid the gynecologist in diagnosing vaginal cysts instead of the more common condition of vaginal prolapse.
authors.affiliation: Department of Obstetrics and Gynecology, Jefferson Medical College, Philadelphia, Pennsylvania 19107, USA. Joseph.Montella@jefferson.edu
authors.forename: Joseph M
authors.initials: JM
authors.lastname: Montella
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D003560:Cysts / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D008279:Magnetic Resonance Imaging / Q000379:methods; D018570:Risk Assessment; D016896:Treatment Outcome; D001745:Urinary Bladder Diseases / Q000175:diagnosis* / Q000601:surgery; D014623:Vaginal Diseases / Q000175:diagnosis* / Q000601:surgery