A Mullerian cyst simulating a cystocele

The differentiation of the genital tract and the urogenital sinus is made from, in the embryological stage, 2 types of canals: Wolf's canal which intervenes in male differentiation and Muller's canal origin of female differentiation, in the event of incomplete involution of residues of these canals, they can give in adulthood urogenital cysts responsible for the signs especially if there is a mass effect on the adjacent anatomical structures.
We present a case of a Mullerian cyst, referred as a cystocele: 32-year-old patient admitted for management of an intravaginal mass evolving for 11 years, responsible for pelvic heaviness making sexual intercourse very painful, in whom the examination found a lump next to the anterior vaginal wall, very painful on palpation without any other associated sign, benefited from surgical excision, the anapath of which returned in favor of a Mullerian cyst.
Involution of Wolf's ducts giving cysts called Gartner's cysts and involution of Muller's ducts giving cysts called Muller's cysts. Abstention is required when they are asymptomatic, otherwise the treatment is less invasive surgery.