RT Book, Section
A1 Dooley-Hash, Suzanne
A1 Knoop, Kevin J.
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181041566
T1 Bartholin Gland Abscess
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181041566
RD 2024/04/20
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.