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A warm, fluctuant mass that is unilateral in the posterolateral portion of labia majora...

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asked Feb 18, 2017 in Ob/Gyn by Rajesh Bahara
A warm, fluctuant mass that is unilateral in the posterolateral portion of the labia majora. The patient states that palpation is painful. The surrounding tissue is inflamed and edematous. Which of the following is the most likely diagnosis?

a. Bartholin’s cyst
b. Bartholin’s abscess
c. Rectocele
d. Cystocele
e. Genital herpes

1 Answer

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Best answer
B. Bartholin’s abscess

Explanation: Obstruction of the main duct of Bartholin’s gland results in retention of secretions (cyst) and secondary infection (abscess). Abscesses are generally painful to palpation, hot to the touch, and fluctuant. A rectocele is a weakness in the fascia of the posterior vaginal wall in which the rectum appears as a bulging mass. A cystocele is a protrusion of the bladder into the anterior vaginal wall. Asking the patient to bear down will enhance these protrusions and make them more easily seen. (DeCherney, 8/e, p 710.)
answered Feb 18, 2017 by Rajesh Bahara

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