PDF(Pubmed)
Abstract：
BACKGROUND: We report on the case of a 21-year-old female who could not walk due to a huge Bartholin\'s cyst occupying the right vulvar region. The patient was treated by marsupialization of the Bartholin\'s cyst and postoperative antibiotic therapy.
METHODS: A 21-year-old female without a medical history of sexually transmitted diseases presented to our outpatient clinic with complaints of a painful vulvar lump and a green-yellowish discharge for 4 d. A large Bartholin\'s cyst, 10 cm in diameter, was suspected over the right side of the vulva. She was advised to be admitted to the ward for intravenous antibiotic treatment and to perform marsupialization several days later. However, the patient requested immediate surgery because of time limitations. The patient underwent marsupialization under local anesthesia. The procedure was well-tolerated. After making the incision, a significant amount of malodorous pus (approximately 30 mL) was removed from the abscess. The patient was followed up for 1 wk postoperatively. The Bartholin\'s cyst regressed, and the surgical wound healed well.
CONCLUSIONS: Our case shows that an initial marsupialization followed by oral antibiotic therapy can be an appropriate treatment option for a large Bartholin\'s cyst. However, depending on the patient\'s condition, a suitable treatment, either cystectomy or marsupialization, can be considered.
METHODS: A 21-year-old female without a medical history of sexually transmitted diseases presented to our outpatient clinic with complaints of a painful vulvar lump and a green-yellowish discharge for 4 d. A large Bartholin\'s cyst, 10 cm in diameter, was suspected over the right side of the vulva. She was advised to be admitted to the ward for intravenous antibiotic treatment and to perform marsupialization several days later. However, the patient requested immediate surgery because of time limitations. The patient underwent marsupialization under local anesthesia. The procedure was well-tolerated. After making the incision, a significant amount of malodorous pus (approximately 30 mL) was removed from the abscess. The patient was followed up for 1 wk postoperatively. The Bartholin\'s cyst regressed, and the surgical wound healed well.
CONCLUSIONS: Our case shows that an initial marsupialization followed by oral antibiotic therapy can be an appropriate treatment option for a large Bartholin\'s cyst. However, depending on the patient\'s condition, a suitable treatment, either cystectomy or marsupialization, can be considered.
摘要：
背景：我们报告了一例21岁的女性，由于巨大的Bartholin囊肿占据了右外阴区域而无法行走。患者接受了Bartholin囊肿的有袋化治疗和术后抗生素治疗。
方法：一名没有性传播疾病病史的21岁女性到我们的门诊诊所就诊，主诉外阴肿块疼痛和绿色黄色排出4天。一个大的Bartholin囊肿，直径10厘米，被怀疑在外阴的右侧.建议她进入病房接受静脉抗生素治疗，并在几天后进行有袋化。然而,由于时间限制，患者要求立即手术。患者在局部麻醉下进行了袋状化。该程序耐受性良好。切开后，从脓肿中清除了大量的恶臭脓液（约30mL）。患者术后随访1周。Bartholin囊肿消退，手术伤口愈合良好。
结论：我们的案例表明，最初的袋袋化，然后口服抗生素治疗可能是大型Bartholin囊肿的适当治疗选择。然而,根据病人的情况，一个合适的治疗,膀胱切除术或袋袋化术,可以考虑。
方法：一名没有性传播疾病病史的21岁女性到我们的门诊诊所就诊，主诉外阴肿块疼痛和绿色黄色排出4天。一个大的Bartholin囊肿，直径10厘米，被怀疑在外阴的右侧.建议她进入病房接受静脉抗生素治疗，并在几天后进行有袋化。然而,由于时间限制，患者要求立即手术。患者在局部麻醉下进行了袋状化。该程序耐受性良好。切开后，从脓肿中清除了大量的恶臭脓液（约30mL）。患者术后随访1周。Bartholin囊肿消退，手术伤口愈合良好。
结论：我们的案例表明，最初的袋袋化，然后口服抗生素治疗可能是大型Bartholin囊肿的适当治疗选择。然而,根据病人的情况，一个合适的治疗,膀胱切除术或袋袋化术,可以考虑。
