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Choudhury S, Dora AK, Gautam G, Pushpalatha K. Bartholin Gland Cyst Mimicking Rectocele: Common Pathology at an Uncommon Location. Cureus 2023; 15:e45607. [PMID: 37868521 PMCID: PMC10588677 DOI: 10.7759/cureus.45607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/20/2023] [Indexed: 10/24/2023] Open
Abstract
Vaginal cysts are often encountered in gynaecological outpatient settings. These are usually asymptomatic in their initial course but become symptomatic when their size increases or they get infected. While evaluating such cases, clinical examination plays a vital role in ruling out their differential diagnoses. Imaging studies can complement clinical findings. However, in some instances, the nature of vaginal cysts may not be determined preoperatively until histopathology examination reveals it. We report here a rare case of a posterior vaginal wall cyst that presented as a mass protruding through the vagina. The clinical dilemma was the characterization of the cyst, owing to its huge size and rare location. The cyst was managed surgically by excision, and to our surprise, histopathological examination revealed it as a Bartholin gland cyst in the posterior vaginal wall, rare in its location.
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Affiliation(s)
- Satish Choudhury
- Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Bhopal, Bhopal, IND
| | - Arun K Dora
- Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Bhopal, Bhopal, IND
| | - Gargi Gautam
- Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Bhopal, Bhopal, IND
| | - K Pushpalatha
- Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Bhopal, Bhopal, IND
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Li YR, Ding DC. Hemorrhagic Bartholin's cyst in a woman using anti-platelet medication: A case report and review of the literature. World J Clin Cases 2023; 11:5755-5761. [PMID: 37727722 PMCID: PMC10505996 DOI: 10.12998/wjcc.v11.i24.5755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 06/30/2023] [Accepted: 08/03/2023] [Indexed: 08/24/2023] Open
Abstract
BACKGROUND We report the case of a postmenopausal female with a hemorrhagic Bartholin's cyst who has been using an antiplatelet medication. CASE SUMMARY A postmenopausal woman, 84 years of age, had a medical history of hypertension, diabetes mellitus, coronary artery disease (three-vessel disease), chronic kidney disease (stage 3), and dementia. The patient has been taking clopidogrel, an antiplatelet medication, for several years. She presented at our outpatient clinic complaining of painful swelling over her left vulva for several days. A Bartholin's cyst over the left vulva was suspected, and the patient underwent marsupialization under local anesthesia, which was well-tolerated. During the incision procedure, bright-red blood with some blood clots was discharged, and a hemorrhagic Bartholin's cyst was observed. There was no recurrence of the hemorrhagic Bartholin's cyst during the 6-mo subsequent follow-up period. CONCLUSION Hemorrhagic Bartholin's cysts rarely occur. We report the case of a postmenopausal female with a hemorrhagic Bartholin's cyst who had been on antiplatelets and was successfully treated with marsupialization. No recurrence was noted during the 6-mo follow-up period. Older females taking antiplatelets should be cautious of bleeding when presenting with a Bartholin's cyst.
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Affiliation(s)
- Yi-Rong Li
- Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien 970, Taiwan
| | - Dah-Ching Ding
- Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien 970, Taiwan
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Benabderrazik B, Chaouche I, Haloua M, El Bouardi N, Alami B, Alaoui Lamrani YM, Maaroufi M, Boubbou M. Pelvic cellulitis, a rare complication of bartholinitis: report of two cases. Radiol Case Rep 2023; 18:563-566. [DOI: 10.1016/j.radcr.2022.11.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 10/29/2022] [Accepted: 11/02/2022] [Indexed: 11/27/2022] Open
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Karabük E, Ganime Aygün E. Marsupialization vs word catheter in the treatment of Bartolin cyst or abscess: retrospective cohort study. J Turk Ger Gynecol Assoc 2022; 23:71-74. [PMID: 35308017 PMCID: PMC9161003 DOI: 10.4274/jtgga.galenos.2022.2022-1-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Objective: Bartholin cysts or abscesses are observed in approximately 2% of women, usually in their reproductive years. Although none of the treatments appear to be superior, there are several options including drainage with basic incision, Word catheter application, marsupialization, silver nitrate application, and excision. The primary outcome in this study was to evaluate the recurrence rates in patients who underwent marsupialization or Word catheter for the treatment of Bartholin cyst or abscesses, and the secondary outcome was to evaluate the rates of patient satisfaction. Material and Methods: A total of 196 patients who underwent either Word catheterization or marsupialization for the treatment of Bartholin cyst or abscesses between 2014 and 2017 were included in this retrospective cohort study. The size and location of the cyst/abscess, the operation duration, and the recurrence was recorded. A 5-point visual analog scale (VAS) was used to assess patient satisfaction and whether patients would recommend thier treatment to others. Results: Recurrence was observed in 11 (8.3%) patients in the marsupialization group, and 12 (18.8%) patients in the Word catheter group (p=0.034). Median (range) VAS scores in the marsupialization group were better than the Word catheter group [4 (1-5) vs 3 (1-5); p<0.001]. Conclusion: Higher recurrence rate and dissatisfaction level were found in the Word catheter group. The only advantage of using Word catheter was its short operation time. These results appear to show that marsupialization should be the first-line treatment for Bartholin cysts and abscesses. However, the small number of cases and the retrospective nature of this study mean that larger, prospective studies are required to support this hypothesis.
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Affiliation(s)
- Emine Karabük
- Department of Obstetrics and Gynecology, Acıbadem University Faculty of Medicine, İstanbul, Turkey
| | - Elif Ganime Aygün
- Department of Obstetrics and Gynecology, Acıbadem University Faculty of Medicine, İstanbul, Turkey
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Abstract
While Bartholin gland abscesses are less commonly seen outpatient pathology, prompt diagnosis and treatment are essential to preventing serious complications such as sepsis and rectovaginal fistula. Owing to an unacceptably high recurrence rate, simple incision and drainage is insufficient for primary treatment; preferably, placement of a Word catheter or Jacobi ring device to reepithelize the duct may be done under local anesthesia in an outpatient clinic. Destruction of the gland through silver nitrate application or alcohol sclerotherapy is an alternative. Marsupialization is often reserved for recurrent cases, although can be offered as primary management in some situations.
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Affiliation(s)
- Natalie Long
- Department of Family and Community Medicine, University of Missouri, Columbia, M224 Medical Sciences Building, DC032.00, Columbia, MO 65212, USA.
| | - Laquita Morris
- Department of Family and Community Medicine, University of Missouri, Columbia, M224 Medical Sciences Building, DC032.00, Columbia, MO 65212, USA
| | - Krystal Foster
- Department of Family and Community Medicine, University of Missouri, Columbia, M224 Medical Sciences Building, DC032.00, Columbia, MO 65212, USA
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Santo N, Muhlis M, Iswanty M, Idrus I, Massi N. Bartholin’s Abscess with Bacterial Vaginosis Coinfection Successfully Treated with a Modified Word Catheter and Combined Antibiotics. Open Access Maced J Med Sci 2021. [DOI: 10.3889/oamjms.2021.7292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: Bartholin’s abscess is an infection of the Bartholin gland that often occurs in women of childbearing age. The prevalence of Bartholin’s abscess is 2% in the female population worldwide. Patients often complain dyspareunia with a high recurrence rate. Bacterial Vaginosis (BV) is a syndrome of changes in the vaginal ecosystem that occurs spontaneously in sexually active women. BV can contribute to the development of a Bartholin’s gland abscess.
CASE REPORT: A 30-year-old woman came with the chief complaint of a 5 cm × 5 cm erythematous, tender, and mobile mass on the right side of the labia majora. In addition, the patient also experienced recurrent vaginal discharge. The patient was diagnosed with Bartholin’s abscess with BV coinfection that was successfully treated with a modified word catheter and combination of antibiotics that showed no recurrence.
CONCLUSION: Combination of modified word catheter and antibiotics can be a simple yet effective way in treating Bartholin’s abscess.
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Beyhan E, Ergül N, Bektaş S, Erol Ö, Çermik TF. Solitary Vulvar Involvement of Ovarian Non-Hodgkin Lymphoma Mimicking Bartholin's Abscess on 18F-FDG PET/CT. Clin Nucl Med 2021; 46:255-257. [PMID: 33351504 DOI: 10.1097/rlu.0000000000003494] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
ABSTRACT A 49-year-old woman was diagnosed with diffuse large B-cell lymphoma of the left ovary. Two months after the hysterectomy and bilateral salpingo-oophorectomy operation, the patient was referred to 18F-FDG PET/CT for staging. A mass lesion measuring 2.8 × 3 cm with intense 18F-FDG uptake was observed at right labium majus, which could be considered as a Bartholin's cyst or abscess. The lesion was excised, and non-Hodgkin lymphoma involvement of vulva was revealed by histopathology.
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Affiliation(s)
- Ediz Beyhan
- From the Clinic of Nuclear Medicine, Istanbul Training and Research Hospital
| | - Nurhan Ergül
- From the Clinic of Nuclear Medicine, Istanbul Training and Research Hospital
| | - Sibel Bektaş
- Clinic of Pathology, Istanbul Gaziosmanpaşa Training and Research Hospital, Istanbul, Turkey
| | - Özge Erol
- From the Clinic of Nuclear Medicine, Istanbul Training and Research Hospital
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Abstract
The emergency medicine provider sees a broad range of pathology involving the female genitourinary system on a daily basis. Must-not-miss diagnoses include pelvic inflammatory disease and ovarian torsion, because these diagnoses can have severe complications and affect future fertility. Although most patients with abnormal uterine bleeding are hemodynamically stable, it can present as a life-threatening emergency and providers should be adept managing severe hemorrhage. Bartholin gland cysts are common complaints that often require procedural intervention. This article discusses these diagnoses and appropriate evaluation and management in the emergency department.
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Affiliation(s)
- Sarah Mahonski
- Heritage Valley Health System, 1000 Dutch Ridge Road, Beaver, PA 15009, USA
| | - Kami M Hu
- Emergency/Internal/Critical Care Medicine, University of Maryland, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA.
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Bertholdt C, Andre L, Germain J, Soussoko M, Morel O, Mezan de Malartic C. [Antibiotics in first-line in case of bartholinitis: Retrospective Study of 33 Cases]. ACTA ACUST UNITED AC 2019; 47:713-717. [PMID: 31356891 DOI: 10.1016/j.gofs.2019.07.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2019] [Indexed: 10/26/2022]
Abstract
OBJECTIVES Acute Bartholinitis is a common pathology affecting nearly 2% of women in their lifetime. Many treatments are used, although their effectiveness is not demonstrated in the literature. The main objective was to evaluate the success rate of first-line antibiotic therapy. The secondary objective was to identify factors associated with successful treatment. METHODS We conducted a retrospective unicentric study between January 2014 and June 2018 at the University Hospital Center of Nancy. Inclusion criteria were the presence of acute bartholinitis treated with first-line antibiotic therapy. Exclusion criteria were patients lost to follow-up after initiation of treatment. The primary endpoint was the absence of surgical treatment within 30 days of initiation of antibiotic therapy. Factors associated with successful medical treatment were sought. RESULTS Thirty-three patients were included. The success rate of medical treatment was 48.5% at 30 days. In the case of symptoms that had been evolving for less than 3 days, the success of medical treatment was more frequent (75% vs. 35.3%, P=0.02). Medical treatment was more effective in lesions of less than 2cm (68.7% vs. 23.5%, P=0.01). After adjustment, the only factor associated with successful medical treatment was lesion size≤2cm [ORa=5.31 (1.05-26.81)]. CONCLUSION First-line antibiotic therapy for acute bartholinitis seems effective but should be targeted according to certain eligibility criteria.
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Affiliation(s)
- C Bertholdt
- Pôle de gynécologie-obstétrique, maternité régionale universitaire, CHRU de Nancy, 10, rue du Docteur Heydenreich, 54000 Nancy, France; Unité Inserm U1254, CHRU de Nancy, rue du Morvan, 54500 Vandœuvre-lès-Nancy, France.
| | - L Andre
- Pôle de gynécologie-obstétrique, maternité régionale universitaire, CHRU de Nancy, 10, rue du Docteur Heydenreich, 54000 Nancy, France
| | - J Germain
- Pôle de gynécologie-obstétrique, maternité régionale universitaire, CHRU de Nancy, 10, rue du Docteur Heydenreich, 54000 Nancy, France
| | - M Soussoko
- Pôle de gynécologie-obstétrique, maternité régionale universitaire, CHRU de Nancy, 10, rue du Docteur Heydenreich, 54000 Nancy, France
| | - O Morel
- Pôle de gynécologie-obstétrique, maternité régionale universitaire, CHRU de Nancy, 10, rue du Docteur Heydenreich, 54000 Nancy, France; Unité Inserm U1254, CHRU de Nancy, rue du Morvan, 54500 Vandœuvre-lès-Nancy, France
| | - C Mezan de Malartic
- Pôle de gynécologie-obstétrique, maternité régionale universitaire, CHRU de Nancy, 10, rue du Docteur Heydenreich, 54000 Nancy, France
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Dole DM, Nypaver C. Management of Bartholin Duct Cysts and Gland Abscesses. J Midwifery Womens Health 2019; 64:337-343. [DOI: 10.1111/jmwh.12937] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2018] [Revised: 11/11/2018] [Accepted: 11/14/2018] [Indexed: 12/23/2022]
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De Bortoli J, Chowdary P, Nikpoor P, Readman E. Clinical approach to vulvovaginal cysts and abscesses, a review. Aust N Z J Obstet Gynaecol 2018; 58:388-396. [DOI: 10.1111/ajo.12822] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2017] [Accepted: 03/31/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Jessica De Bortoli
- Department of Gynaecology; The Mercy Hospital for Women; Heidelberg Victoria Australia
| | - Prathima Chowdary
- Department of Gynaecology; The Mercy Hospital for Women; Heidelberg Victoria Australia
- Department of Endosurgery; The Mercy Hospital for Women; Heidelberg Victoria Australia
| | - Payam Nikpoor
- Department of Gynaecology; The Mercy Hospital for Women; Heidelberg Victoria Australia
- Department of Urogynaecology; The Mercy Hospital for Women; Heidelberg Victoria Australia
| | - Emma Readman
- Department of Gynaecology; The Mercy Hospital for Women; Heidelberg Victoria Australia
- Department of Endosurgery; The Mercy Hospital for Women; Heidelberg Victoria Australia
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Kallam AR, Kanumury V, Bhimavarapu N, Soorada B. A Report of Two Cases of "Giant Bartholin Gland Cysts" Successfully Treated by Excision with Review of Literature. J Clin Diagn Res 2017; 11:PD11-PD13. [PMID: 28764246 DOI: 10.7860/jcdr/2017/26802.10088] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2017] [Accepted: 04/17/2017] [Indexed: 11/24/2022]
Abstract
Bartholin's gland cysts are one of the common vulval masses that may start as asymptomatic cysts but if left untreated, may become large and infected requiring medical attention. We are presenting two interesting and rare cases of giant Bartholin cyst and their treatment in this case report. Two female patients of perimenopausal age presented with giant vulval cysts to the outpatient department of Obstetrics and Gynaecology. They reached a size of 10 cm and 20 cm diameter respectively, presenting with some diagnostic and later reconstruction of the labia majus. MRI pelvis provided good information regarding the size, shape and extent of the cyst, which was very useful during surgery. Both these cases were successfully treated by excision of the cyst and histopathological examination after complete excision. One of the cases presented as dumb-bell shaped swelling with large cyst superiorly and smaller cyst extending into the buttock connected by narrow neck and showed cross fluctuation. This type of dumb-bell shaped presentation of Bartholin's cyst is rather unusual and has not been reported in the available literature.
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Affiliation(s)
- Anji Reddy Kallam
- Director and Plastic Surgeon, Department of Plastic Surgery, ASRAM Medical College, Eluru, Andhra Pradesh, India
| | - Vandana Kanumury
- Professor and Head, Department of Obstetrics and Gynaecology, ASRAM Medical College, Eluru, Andhra Pradesh, India
| | - Naveena Bhimavarapu
- Postgraduate student, Department of Obstetrics and Gynaecology, ASRAM Medical College, Eluru, Andhra Pradesh, India
| | - Bhavika Soorada
- Postgraduate student, Department of Obstetrics and Gynaecology, ASRAM Medical College, Eluru, Andhra Pradesh, India
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Abstract
A multitude of infectious diseases of viral (genital herpes, herpes zoster, genital warts and molluscum contagiosum), bacterial (syphilis, chancroid, lymphogranuloma venereum, donovanosis, erysipelas, cellulitis and necrotising fasciitis, folliculitis, impetigo, bartholin gland abscess, trichomycosis and erythrasma), fungal (candidiasis and dermatophytosis) and parasitic (pediculosis pubis) origin may affect the vulvar area. Herein, we review the infections and their skin manifestations in the vulvar area.
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Affiliation(s)
- Freja Lærke Sand
- a Department of Dermatology , Bispebjerg Hospital , Copenhagen , Denmark
| | - Simon Francis Thomsen
- a Department of Dermatology , Bispebjerg Hospital , Copenhagen , Denmark.,b Department of Biomedical Sciences , University of Copenhagen , Copenhagen , Denmark
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Speck NMDG, Boechat KPR, Santos GMLD, Ribalta JCL. Treatment of Bartholin gland cyst with CO2laser. EINSTEIN-SAO PAULO 2016; 14:25-9. [PMID: 27074230 PMCID: PMC4872913 DOI: 10.1590/s1679-45082016ao3568] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2015] [Accepted: 02/03/2016] [Indexed: 11/22/2022] Open
Abstract
Objective To describe the results of treatment with CO2 laser for Bartholin gland cysts. Methods Thirty-one women with Bartholin gland cysts were treated with CO2 laser at an outpatient´s setting. Skin incision was performed with focused laser beam, the capsule was opened to drain mucoid content, followed by internal vaporization of impaired capsule. Results There were no complications. Five patients had recurrence of the cyst and were submitted to a second and successful session. Conclusion CO2 laser surgery was effective to treat Bartholin gland cysts with minimal or no complications, and can be performed at an outpatient´s setting.
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Morris MW, Aru M, Gaugler A, Morris RF, Vanderlan WB. Necrotizing Fasciitis of the Perineum Associated with a Bartholin Abscess. Surg Infect (Larchmt) 2014; 15:131-3. [DOI: 10.1089/sur.2012.153] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Michael W. Morris
- Department of Surgery, University of Mississippi School of Medicine, Jackson, Mississippi
| | - Marco Aru
- Department of Surgery, University of Mississippi School of Medicine, Jackson, Mississippi
| | - Andrew Gaugler
- Department of Surgery, University of Mississippi School of Medicine, Jackson, Mississippi
| | - Rachael F. Morris
- Department of Obstetrics and Gynecology, University of Mississippi School of Medicine, Jackson, Mississippi
| | - Wesley B. Vanderlan
- Department of Surgery, University of Mississippi School of Medicine, Jackson, Mississippi
- Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland
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Nasser HA, Mendes VM, Zein F, Tanios BY, Berjaoui T. Complicated rectovaginal fistula secondary to Bartholin's cyst infection. J Obstet Gynaecol Res 2014; 40:1141-4. [PMID: 24428845 DOI: 10.1111/jog.12294] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2013] [Accepted: 09/08/2013] [Indexed: 11/26/2022]
Abstract
Rectovaginal fistula formation secondary to Bartholin's cyst is a very rare complication, and to date only three cases were reported in the literature. We report a case of a 32-year-old woman who suffered recurrent episodes of Bartholin's cyst infection with subsequent abscess formation that resulted in rectovaginal fistula formation. We treated her initially with transperineal repair; however, the fistulous tract recurred a month later. A laparoscopic colostomy and transperineal repair using biological graft was then performed, with excellent results. The patient underwent reversal of colostomy after 2 months, and remained asymptomatic upon follow-up 12 months later.
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Affiliation(s)
- Haydar A Nasser
- Free University of Brussels, Faculty of Medicine, Brussels, Belgium
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Kessous R, Aricha-Tamir B, Sheizaf B, Shteiner N, Moran-Gilad J, Weintraub AY. Clinical and Microbiological Characteristics of Bartholin Gland Abscesses. Obstet Gynecol 2013; 122:794-799. [DOI: 10.1097/aog.0b013e3182a5f0de] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Abstract
OBJECTIVE To estimate the prevalence of Bartholin gland cysts in asymptomatic women serving as control participants who underwent pelvic magnetic resonance imaging (MRI) as part of research studies. The secondary aim was to investigate potential demographic characteristics associated with Bartholin gland cysts. METHODS Pelvic MRIs from 430 control participants enrolled in five research projects were evaluated. All images were evaluated by at least two authors. The presence, laterality, and size of Bartholin gland cysts were recorded. Demographic information for each participant was obtained at the time of enrollment in the respective parent study. RESULTS Approximately 3% of the participants had visible Bartholin gland cysts on MRI scans. Fifty percent of the cysts were identified on the right side, 42.9% were seen on the left side, and 7.1% were bilateral. The cysts were, on average, 1.3×1.2×1.3 cm with dimensions ranging from 0.5 to 2.7 cm. There were no demographic differences between women with and without visible Bartholin gland cysts. CONCLUSION Bartholin gland cysts occur in 3% of adult women. The cysts affect women of broad ranges of age and parity. Women with visible Bartholin gland cysts are demographically similar to women without cysts on pelvic imaging. LEVEL OF EVIDENCE II.
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