TY - CHAP M1 - Book, Section TI - Bartholin Gland Abscess A1 - Dooley-Hash, Suzanne A1 - Knoop, Kevin J. A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason PY - 2021 T2 - The Atlas of Emergency Medicine, 5e AB - Bartholin gland cysts are mucus-filled and found within the labia majora, posterolateral to the vaginal opening. Cysts form secondary to Bartholin gland duct obstruction and can become infected, leading to abscess. Infection is usually with mixed vaginal or fecal flora (Escherichia coli) but may also contain N gonorrhoeae and C trachomatis. Cysts may be asymptomatic, whereas abscesses are usually erythematous and swollen and may cause dyspareunia. A tender, fluctuant, cystic mass with surrounding labial edema is easily appreciated on examination. Differential should include epidermal inclusion cysts and sebaceous cysts of the labia majora, hidradenitis suppurativa, vulvar hematomas, leiomyomas, lipomas, and fibromas. SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/03/28 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1181041566 ER -