PDF(Pubmed)
Abstract：
BACKGROUND: We report the case of a postmenopausal female with a hemorrhagic Bartholin\'s cyst who has been using an antiplatelet medication.
METHODS: A postmenopausal woman, 84 years of age, had a medical history of hypertension, diabetes mellitus, coronary artery disease (three-vessel disease), chronic kidney disease (stage 3), and dementia. The patient has been taking clopidogrel, an antiplatelet medication, for several years. She presented at our outpatient clinic complaining of painful swelling over her left vulva for several days. A Bartholin\'s cyst over the left vulva was suspected, and the patient underwent marsupialization under local anesthesia, which was well-tolerated. During the incision procedure, bright-red blood with some blood clots was discharged, and a hemorrhagic Bartholin\'s cyst was observed. There was no recurrence of the hemorrhagic Bartholin\'s cyst during the 6-mo subsequent follow-up period.
CONCLUSIONS: Hemorrhagic Bartholin\'s cysts rarely occur. We report the case of a postmenopausal female with a hemorrhagic Bartholin\'s cyst who had been on antiplatelets and was successfully treated with marsupialization. No recurrence was noted during the 6-mo follow-up period. Older females taking antiplatelets should be cautious of bleeding when presenting with a Bartholin\'s cyst.
METHODS: A postmenopausal woman, 84 years of age, had a medical history of hypertension, diabetes mellitus, coronary artery disease (three-vessel disease), chronic kidney disease (stage 3), and dementia. The patient has been taking clopidogrel, an antiplatelet medication, for several years. She presented at our outpatient clinic complaining of painful swelling over her left vulva for several days. A Bartholin\'s cyst over the left vulva was suspected, and the patient underwent marsupialization under local anesthesia, which was well-tolerated. During the incision procedure, bright-red blood with some blood clots was discharged, and a hemorrhagic Bartholin\'s cyst was observed. There was no recurrence of the hemorrhagic Bartholin\'s cyst during the 6-mo subsequent follow-up period.
CONCLUSIONS: Hemorrhagic Bartholin\'s cysts rarely occur. We report the case of a postmenopausal female with a hemorrhagic Bartholin\'s cyst who had been on antiplatelets and was successfully treated with marsupialization. No recurrence was noted during the 6-mo follow-up period. Older females taking antiplatelets should be cautious of bleeding when presenting with a Bartholin\'s cyst.
摘要：
背景：我们报道了一例绝经后女性出血性前庭大腺囊肿，一直在使用抗血小板药物治疗。
方法：一名绝经后妇女，84岁,有高血压病史,糖尿病,冠状动脉疾病（三支血管疾病），慢性肾脏病（3期），和痴呆症。病人一直在服用氯吡格雷,抗血小板药物,几年了。她在我们的门诊诊所就诊，抱怨她的左外阴疼痛肿胀了几天。怀疑左外阴有Bartholin囊肿,病人在局部麻醉下进行了袋状化，这是耐受性良好的。在切开过程中,有血块的鲜红色血液排出,并观察到出血性巴氏囊肿。在随后的6个月随访期间，出血性巴氏囊肿没有复发。
结论：出血性前庭大腺囊肿很少发生。我们报告了一名绝经后女性出血性Bartholin囊肿的病例，该患者服用了抗血小板药物，并成功进行了袋袋化治疗。在6个月的随访期间没有发现复发。服用抗血小板药物的老年女性在出现Bartholin囊肿时应注意出血。
方法：一名绝经后妇女，84岁,有高血压病史,糖尿病,冠状动脉疾病（三支血管疾病），慢性肾脏病（3期），和痴呆症。病人一直在服用氯吡格雷,抗血小板药物,几年了。她在我们的门诊诊所就诊，抱怨她的左外阴疼痛肿胀了几天。怀疑左外阴有Bartholin囊肿,病人在局部麻醉下进行了袋状化，这是耐受性良好的。在切开过程中,有血块的鲜红色血液排出,并观察到出血性巴氏囊肿。在随后的6个月随访期间，出血性巴氏囊肿没有复发。
结论：出血性前庭大腺囊肿很少发生。我们报告了一名绝经后女性出血性Bartholin囊肿的病例，该患者服用了抗血小板药物，并成功进行了袋袋化治疗。在6个月的随访期间没有发现复发。服用抗血小板药物的老年女性在出现Bartholin囊肿时应注意出血。
