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Case 11 - A 50-Year-Old Woman with a Recurrent Bartholin’s Gland Cyst

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 50-year-old female, gravida 2, para 2, presents to the office with vulvar pain. For the past three months, she reports noticing a “walnut” sized bump on the left vulva that has increased in size in the past week. She reports it is tender, and it is difficult to sit for long periods of time. She also reports dyspareunia. She is currently taking ibuprofen for pain and using warm compresses without alleviation of symptoms. She reports similar symptoms on the same side that required incision and drainage, once in her 30s and, more recently, four months ago when a Word catheter was placed. She denies fevers, chills, and nausea/vomiting. Her last menstrual period was two weeks ago and has regular monthly cycles with light bleeding. Past medical history is significant for hypertension, obesity, and hyperlipidemia. Past surgical history is significant for bilateral tubal ligation. She is sexually active with husband of 25 years.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 29 - 31
Publisher: Cambridge University Press
Print publication year: 2021

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References

Illingworth, BJ, Stocking, K, Showell, M, et al. Evaluation of treatments for Bartholin’s cyst or abscess: a systematic review. BJOG 2020; 127: 671–8.CrossRefGoogle ScholarPubMed
Lee, MY, Dalpiaz, A, Schwamb, R, et al. Clinical pathology of Bartholin’s glands: a review of the literature. Curr Urol 2015; 8: 22–5.CrossRefGoogle ScholarPubMed
Omole, F, Kelsey, RC, Phillips, K, et al. Bartholin duct cyst and gland abscess: office management. Am Fam Physician 2019; 99: 760–6.Google ScholarPubMed
Mayeaux, EJ Jr, Cooper, D. Vulvar procedures: biopsy, Bartholin abscess treatment, and condyloma treatment. Obstet Gynecol Clin North Am 2013; 40: 759–72.CrossRefGoogle ScholarPubMed
Kroese, JA, van der Velde, M, Morssink, LP, et al. Word catheter and marsupialisation in women with a cyst or abscess of the Bartholin gland (WoMan-trial): a randomised clinical trial. BJOG 2017; 124: 243–9.Google ScholarPubMed
Thurman, AR, Satterfield, TM, Soper, DE. Methicillin-resistant Staphylococcus aureus as a common cause of vulvar abscesses. Obstet Gynecol 2008; 112: 538–44.CrossRefGoogle ScholarPubMed
Wechter, ME, Wu, JM, Marzano, D, et al. Management of Bartholin duct cysts and abscesses: a systematic review. Obstet Gynecol Surv 2009; 64: 395404.CrossRefGoogle ScholarPubMed

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