Last Updated: 2013-04-26
Noninfectious occlusion of the distal Bartholin duct with resultant retention of secretions.
Diagnosed on clinical exam. The classic appearance is a medially protruding cystic structure at the inferior aspect of the labia majora, in the 5 or 7 o'clock position, crossed by the labium minus.
Identified in about 2% of women presenting for gynecologic care in the US, and most common in women of reproductive age. In postmenopausal women with a vulval mass, malignancy should be considered.
A Bartholin duct abscess may be primary (from bartholinitis) or secondary (from infection of Bartholin cyst).
Treatment of a cyst can be conservative or surgical and depends on size, symptoms, presence of infection, and whether the cyst is recurrent.
Broad-spectrum antibiotics are recommended for the treatment of Bartholin gland abscesses. Incision and drainage may be required.
From the personal collection of Colleen Kennedy Stockdale
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