Question 62 · LEK · Bartholin gland abscess
A 34-year-old female patient 3 months after a physiological childbirth suddenly suffered a pain of the vulva. She complained that she could not sit, and while she tries to sit down she feels a resistance in the right side. In the light of reported symptoms one should:
- A. diagnose complications of crotch sewing and refer the patient for crotch plastic surgery.
- B. diagnose viral vulvitis, most probably herpetic and order acyclovir therapy.
- C. diagnose vulva carcinoma and order biopsy.
- D. diagnose Skene’s gland abscess and order antibiotics.
- E. diagnose Bartholin’s abscess, make incision and drainage.
Hint
Locate the lesion: a painful, unilateral swelling in the lower vestibule that makes sitting impossible.
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