Presentation
Painful lump to the right of the vaginal opening for 3 days with fever
Patient Data
Age: 55 years
Gender: Female
From the case:
Bartholin gland abscess
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Longitudinal
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.