Gynaecology & Obs » Infections / Inflammation

Bartholinitis; Bartholin's duct abscess and cyst

Bartholin's glands are situated posterolaterally to the vaginal orifice; gland is not normally felt on palpation. Bartholin's duct cyst usually develops as a sequelae of an bacterial infection. E Coli are the commonest organisms responsible. Infectious haematoma of the vulva and infection of Skene's glands are to be considered as differential. Antibiotic treatment is recommended for large abscesses; First-generation cephalosporin (Cephalexin or Cefadroxil) with Metronidazole is the ideal combination. An acute abscess is incised as an emergency. Remember the possibility of a malignant neoplasm of Bartholin's gland in a postmenopausal woman with recurrences.

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