case_images: PMC11794079_01
case_images: Protruding cystic mass through the vagina arising from the mid-anterior vaginal wall.
case_images: fmed-11-1502969-g001.jpg
case_images: PMC11794079_01_fmed-11-1502969-g001.jpg
case_images: fig1
case_images: On examination of the external genitalia, there was a 5 by 4 cm pink smooth protruded mass outside the introitus (Figure 1) which had a cystic consistency, was non-tender, and emerged from the mid-anterior vaginal wall.
case_images: Pelvic ultrasound showing a sagittal view of a normal uterine and cervical outline, UB, Urinary bladder.
case_images: fmed-11-1502969-g002.jpg
case_images: PMC11794079_01_fmed-11-1502969-g002.jpg
case_images: fig2
case_images: Pelvic ultrasound revealed a normal size and outline of the urinary bladder, uterus, and adnexa (Figure 2).
case_images: Aspirated fluid from the anterior vaginal wall mass.
case_images: fmed-11-1502969-g003.jpg
case_images: PMC11794079_01_fmed-11-1502969-g003.jpg
case_images: fig3
case_images: Fine needle aspiration was done on the cystic mass (Figure 3) and using Ziehl Neelson Staining, microscopy showed Acid-Fast Bacilli (Figure 4).
case_images: Acid-fast bacilli seen under the microscope from the aspirate fluid.
case_images: fmed-11-1502969-g004.jpg
case_images: PMC11794079_01_fmed-11-1502969-g004.jpg
case_images: fig4
case_images: Fine needle aspiration was done on the cystic mass (Figure 3) and using Ziehl Neelson Staining, microscopy showed Acid-Fast Bacilli (Figure 4).
case_images: Protruded cystic mass disappeared after anti-TB treatment (6th month).
case_images: fmed-11-1502969-g005.jpg
case_images: PMC11794079_01_fmed-11-1502969-g005.jpg
case_images: fig5
case_images: After she completed the treatment, she was examined and the bulging mass per vagina disappeared (Figure 5), her BMI was corrected, and her overall wellbeing improved a lot.