Vaginal dermoid cyst is a rare condition. Ultrasound is the investigative tool for such an entity which may be treated surgically through a transvaginal approach.

The finding of paravaginal dermoid cyst is rare in gynecology practice. The key in the management is the preoperative assessment using transvaginal ultrasound, and the appropriate surgical intervention. We report a case of vaginal dermoid cyst and the surgical procedure in its management.

Dermoid cysts have also been reported in male patients, in different parts of their body.

Vaginal dermoid is a rare condition. Only five cases have been reported in English literature. First observed in 1899 by Stokes, who reported a 44 year old woman who had a 1 centimeter cyst removed from just within the hymen. The cystic contents showed neumerous sebaceous glands and a few hair follicles. Curtis  described an ulcerated orange-sized necrotic cyst, containing hair and sebaceous materials in the vaginal mucosa. Johnston described a 4-inch cyst that passed from the vagina in a woman following delivery of her second child. The cyst was filled with thick sebaceous material with matted hair and had been attached to the vaginal wall by a narrow stalk. Hirose et al  reported another case, having repeated painful right vaginal wall cyst, which was excised and was found to be a dermoid cyst confirmed by histopatological examination.

Transvaginal excision of this type of cyst appears to be an appropriate surgical treatment option which was inconformity with some of the previous cases.

Vaginal dermoid cyst is a rare condition, which can be diagnosed with ultrasound. Transvaginal excision appears to be an appropriate surgical treatment option.

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