RARE CASES OF VAGINAL AND CERVICAL CYST MIMICKING PELVIC ORGAN PROLAPSE IN YOUNG WOMEN - A REVIEW META ANALYSIS

Pelvic organ prolapse is defined as the descent of one or more of the anterior vaginal wall, posterior vaginal wall, the uterus (cervix) or the apex of the vagina (vaginal vault or cuff scar after hysterectomy). It usually involves the uterus and cervix and is an issue of major health concern commonly seen in postmenopausal and multiparous women mainly due to defects in pelvic support. The prevalence of prolapse in nulliparous and young women is rare (only around 2%) [5]. Here, we have found two patients with rare cases mimicking pelvic organ prolapse in young women, large cervical cyst in the first case and large vaginal cyst in the second case. In these two cases aetiogenesis of prolapse of cyst through introitus could be attributed to the weight of large cysts. The first case report was of a 21-year-old female G2P1L1 with 12 weeks 3 days gestation with complaints of something coming out of vaginum on straining. On examination it was found to be a large cervical cyst of about 5 cm diameter. The swelling was fragile and boggy in consistency seen to be arising from the posterior lip of the cervix. Cervical cyst drainage with marsupialisation of the cyst walls was done where fluid and tissue were sent for cytology and histopathological examination. Histopathology confirmed a large Nabothian cervical cyst of inflammatory origin. This case outlines the rare, asymptomatic nature of giant Nabothian cysts which can rarely mimic cervical prolapse. Second case was a similar case wherein a large cystic swelling was seen prolapsed from the introitus in a 25year old P1L1 woman. However, on per-speculum examination, it was seen arising from the posterior vaginal wall and was diagnosed as a posterior vaginal cyst for which marsupialisation was done and tissue sent for histopathology and cytology. This case although similar to the previous one, had different etiology yet highlighting another rare case mimicking prolapse in young women