Bartholin gland abscess

Case contributed by Dr Chris O'Donnell

Presentation

Painful lump to the right of the vaginal opening for 3 days with fever

Patient Data

Age: 55
Gender: Female
Modality: Ultrasound

Cystic mass to the right of the introitus in the labium with internal echoes and increased vascularity in surrounding soft tissues

Case Discussion

Bartholin glands can obstruct and form cysts.  If not effectively decompressed these cysts can become infected.  Treatment requires antibiotics +/- surgical drainage.  Marsupialization may be necessary if obstruction is recurrent.  Differential diagnoses include Skene gland cysts (more cephalad adjacent to the urethral opening) or infected hair follicles.

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Case Information

rID: 52678
Case created: 17th Apr 2017
Last edited: 18th Apr 2017
System: Gynaecology
Inclusion in quiz mode: Included

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