[1][2] They are typically small asymptomatic cysts that occur along the lateral walls of the vagina, following the course of the duct.

They can present in adolescence with painful menstruation (dysmenorrhea) or difficulty inserting a tampon.

[2] There is a small association between Gartner's duct cysts and metanephric urinary anomalies, such as ectopic ureter and ipsilateral renal hypoplasia.

[5] Symptoms of a Gartner's duct cyst include: infections, bladder dysfunction, abdominal pain, vaginal discharge, and urinary incontinence.

On T2-weighted imaging, it manifests as hyperintense signal as most of its contents are fluid in nature.