LATERAL VAGINAL WALL EPIDERMAL INCLUSION CYST MIMICKING PROCIDENTIA: A CASE REPORT

Meenakshi Thakur*, Vikrant Chauhan, Amar Dass and Himani Adlakha

ABSTRACT

Background: Epidermal inclusion cysts of the vagina are rare, benign lesions usually resulting from trauma or surgery. Case Summary: A 38-year-old multiparous woman presented with a one-year history of vaginal bulging and recent foul-smelling discharge and urinary retention. Clinical examination revealed a large vaginal mass resembling procidentia. MRI confirmed a 7 cm unilocular cyst in the right lateral vaginal wall. Following resolution of infection, complete surgical excision via vaginal route was performed. Histopathology confirmed an epidermal inclusion cyst. Conclusion: Vaginal epidermal inclusion cysts can mimic pelvic organ prolapse. High suspicion, proper imaging, and surgical excision are key to management.

Keywords: Epidermal inclusion cyst, vaginal cyst, procidentia mimic, pelvic organ prolapse, vaginal wall mass.