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Huge Bartholin's cyst managed by primary marsupialization: A case report
Hao-Yu Li1, Dah-Ching Ding1,2
1Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, Hualien 970, Taiwan.
World Journal of Clinical Cases
|December 11, 2023
Summary
Marsupialization is an effective treatment for large Bartholin
Area of Science:
- Gynecology
- Surgical Case Reports
Background:
- A 21-year-old female presented with a large, painful Bartholin's cyst impacting mobility.
- The cyst measured 10 cm in diameter and caused significant discomfort and discharge.
Observation:
- The patient opted for immediate marsupialization under local anesthesia due to time constraints.
- The procedure involved draining approximately 30 mL of malodorous pus from the abscess.
Findings:
- Marsupialization resulted in cyst regression and successful wound healing within one week.
- Postoperative oral antibiotic therapy complemented the surgical intervention.
Implications:
- This case highlights marsupialization as a viable initial treatment for large Bartholin's cysts.
- Treatment choice (marsupialization vs. cystectomy) should be individualized based on patient condition.
