Bartholin’s Gland Abscess

Question 1

Trauma or infection may involve the Bartholin duct, causing obstruction of the gland, drainage of the secretions is now prevented leading to pain, swelling and the formation of what?

Answer 1

abscess

Question 2

Stenosis of the duct outlet with distension often persists, chronic bartholin’s gland (cysts) are often what?

Answer 2

aseptic and benign

Question 3

Reinfection of the bartholin’s gland causes what?

Answer 3

recurrent tenderness and further enlargement of the duct

Question 4

What are these symptoms of?

1. periodic painful swelling on either side of the introitus
2. dysparenuria
3. fluctuant swelling 1-4cm in diameter lateral to either labium minus
4. tenderness is evidence of active infection

Answer 4

Bartholin’s gland abscess

Question 5

True or False

Manual aspiration or incision and drainage of the abscess is the treatment for a bartholin’s gland abscess but they often reoccur

Answer 5

True

Question 6

True or False

Antibiotics are unnecessary unless cellulitis is present or spreading infections are present

Answer 6

True

Question 7

If an STI is suspected with a Bartholin’s gland abscess but the culture of drainage is not available you should presumptively treat for what?

Answer 7

Gonorrhea and Chlamydia

Question 8

What may be required for frequent reoccurrences of bartholin’s gland abscesses?

Answer 8

Marsupialization

Question 9

For women over the age of 40, biopsy or removal of infected bartholin’s gland cyst are recommended to rule out what?

Answer 9

vulvar carcinoma