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Bartholin's Cyst or Abscess

Bartholin Gland Abscess


Presentation

  • Vulval cancers may present as unexplained lumps, bleeding from ulceration or pain. Vulval cancer may also present with pruritus or pain.[health.qld.gov.au]
  • […] in walking or sitting, dyspareunia and fever. [1], [2] The diagnosis of this condition is clinical, with the typical presentation of vulval swellings that range in size from a pea to an egg; huge vulval swellings are an unusual presentation.[tjogonline.com]
  • Left vulva swelling was the commonest presentation accounting for 71% (27).[pearlresearchjournals.org]
  • In the present study we use silver nitrate in the treatment of Bartholin's cyst or abscess and compare to marsupialization. We expect lower healing time, lower recurrence rate and less pain with the silver nitrate treatment.[clinicaltrials.gov]
  • The Bartholin gland cyst: past, present, and future. J Low Genit Tract Dis 2004;8(3):195–204. PubMed CrossRef Google Scholar Copyright information Springer Science Business Media, LLC 2010 Authors and Affiliations Janice E.[link.springer.com]
Hunting
  • Again, standard GC and Chlamydia probes used in the vagina, rather than a cotton tip applicator filled with abscess pus and sent in a culture tube, appears to be the way to go if one is hunting for organisms.[journals.lww.com]
  • ., Hunt, J. J. & Callegan, M. C. ( 2008 ; ). Hypermucoviscosity as a virulence factor in experimental Klebsiella pneumoniae endophthalmitis. Invest Ophthalmol Vis Sci 49, 4931 –4938. [CrossRef] [Google Scholar] Yang, C. S., Tsai, H. Y., Sung, C.[jmm.microbiologyresearch.org]
Burning Pain
  • They may have symptoms such as Itching Burning Pain Abnormal bleeding Discharge One common problem is vaginitis, an inflammation of the vagina.[icdlist.com]
Foul Smelling Vaginal Discharge
  • There was no history of foul-smelling vaginal discharge or urinary symptoms, and there was no swelling in any other part of the body.[tjogonline.com]

Workup

Clostridium Perfringens
  • Bacterial Isolates from Bartholin Gland Abscesses Aerobic Organisms Neisseria gonorrhoeae Staphylococcus aureus Streptococcus faecalis Escherichia coli Pseudomonas aeruginosa Chlamydia trachomatis Anaerobic Organisms Bacteroides fragilis Clostridium perfringens[journals.lww.com]
Pseudomonas
  • Bacterial Isolates from Bartholin Gland Abscesses Aerobic Organisms Neisseria gonorrhoeae Staphylococcus aureus Streptococcus faecalis Escherichia coli Pseudomonas aeruginosa Chlamydia trachomatis Anaerobic Organisms Bacteroides fragilis Clostridium perfringens[journals.lww.com]

Treatment

  • Silver nitrate treatment of Bartholin's cyst or abscess will be compared to marsupialization treatment.[clinicaltrials.gov]
  • […] failure or where treatment cannot be tolerated due to side-effects there are problematic recurrences Vulval rashes Vulval warts Bartholin’s cyst/labial cysts If your patient does not meet the minimum referral criteria Consider other treatment pathways[health.qld.gov.au]
  • Treatment of Bartholin’s Cyst and Abscess Small, noninflamed cysts, without any symptoms, do not usually need any treatment.[dom-rio.ru]
  • History of malignancy in the labia Treatment : A Bartholin gland cyst is generally a clinical diagnosis based on physical examination![amboss.com]

Prognosis

  • (Outcomes/Resolutions) The prognosis of Bartholin Gland Abscess is generally good with proper treatment.[dovemed.com]
  • Expectations (prognosis) The chance of a full recovery is excellent. About 10% of the time, abscesses return. It is important to treat any vaginal infection that is diagnosed at the same time as the abscess.[indiatoday.intoday.in]
  • MRI Signal characteristics include: T1: can be of variable signal T2: often of uniform hyperintensity on T2-weighted imaging although can occasionally vary dependent on protein content, may also be heterogeneous when infected Treatment and prognosis Infected[radiopaedia.org]
  • Prognosis The chance is good that this problem will clear up quickly. A Bartholin's gland cyst may respond to warm compresses alone within a few days.[drugs.com]
  • Prognosis A Bartholin's gland cyst should respond to treatment in a few days. If an abscess requires surgery, healing may take days to weeks, depending on the size of the abscess and the type of surgical procedure used.[medical-dictionary.thefreedictionary.com]

Etiology

  • (Etiology) When the duct of the Bartholin gland gets blocked, fluid gets accumulated and causes the gland to expand in size and form a cyst, which is termed as the Bartholin gland cyst A Bartholin Gland Abscess may be formed when the cyst gets infected[dovemed.com]

Epidemiology

  • Epidemiology 2% of women are affected at some point in their lives by a Bartholin gland cyst or abscess. Peak incidence : 20–30 years References: [1] [2] [3] Epidemiological data refers to the US, unless otherwise specified.[amboss.com]
  • Epidemiology Bartholin's Gland Duct Cysts and abscess Incidence : 2% Most common in adult women under age 30 years III.[fpnotebook.com]
  • Epidemiology [ edit ] Two percent of women will have a Bartholin's gland cyst at some point in their lives. [2] They occur at a rate of 0.55 per 1000 person-years and in women aged 35–50 years at a rate of 1.21 per 1000 person-years. [11] The incidence[en.wikipedia.org]
Sex distribution
Age distribution

Pathophysiology

  • Bartholin gland cyst Pathophysiology : blockage of the duct by inflammation or trauma Clinical features : often asymptomatic but can cause mild dyspareunia Diagnostics Pelvic exam: unilateral, palpable mass in the posterior vaginal introitus STD testing[amboss.com]
  • Pathophysiology Bartholin's Gland Vaginal vestibular glands provide moisture Located at bilateral inferior labia minora Drain via ducts at 4:00 and 8:00 positions of labia Normal Bartholin's gland size Bartholin's Gland Duct Cyst Results from distal duct[fpnotebook.com]
  • Aetiology and Pathophysiology The Bartholin’s glands (greater vestibular glands) are located deep to the posterior aspect of the labia majora.[teachmeobgyn.com]
  • Pathophysiology [ edit ] A Bartholin's gland cyst develops when the duct that drains the gland becomes blocked. [8] Blockage may be caused by an infection or a mucus plug. [8] The secretions from the Bartholin's gland are retained, forming a cyst. [2][en.wikipedia.org]

Prevention

  • Bartholin’s gland cyst and abscess are important common gynaecological diseases which need definite treatment to reduce and prevent recurrence. The patients’ life style and practitioners’ mode of medical practice are known risk factors.[pearlresearchjournals.org]
  • There are no specific methods to prevent the occurrence of Bartholin gland cysts that causes Bartholin Gland Abscess.[dovemed.com]
  • After the catheter insertion, it is important to keep the area clean and dry to prevent infections. Take sitz baths 2-3 times per day. A Sitz bath is a warm-water bath with Epson salts or Baking Soda added.[wecaremedicalgroup.org]
  • Recurrence of Bartholin’s cyst may be prevented by this method of treatment.[dom-rio.ru]
  • Prevention When you first notice mild tenderness or a small lump, use warm towel compresses to help to drain the gland and cyst and to prevent infection.[drugs.com]

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