Hemorrhagic Bartholin’s cyst in a woman using anti-platelet medication: A case report and review of the literature

Table 1 Cases of the hemorrhagic Bartholin’s cyst

Ref.	Age	Associated history	Location and size	Content of cyst	Treatment
Kallam et al[19], 2017	68	Swelling in the right labial region over the last 2 yr. The lesion was small and painless, and gradually increasing in size (especially over the last 3 mo)	A 10 cm × 7 cm × 3 cm solitary swelling over right labia majora, extending from level of pubic bones down to just above the vulval fourchette inferiorly	Nearly 500 mL of thick straw-colored fluid	Surgical excision
	42	Large swelling near the right introitus for 1.5 yr, and it grew suddenly over the last 6 d. Fever with chills and rigors 5 d prior. History of DM. No history of trauma, weight loss, or loss of appetite	A 23 cm × 11 cm mass at right labia majora; another 6 cm × 6 cm mass at right gluteal region, just below the lesion at right labia majora	Dark stained thick fluid	Surgical excision
Şengül et al[23], 2014	46	A painless mass in the left vulvar region for 3 yr. No dysmenorrhea, dyspareunia or chronic pelvic pain. No history of any other disease or operation	A 6 cm septate cystic lesion on the left Bartholin’s gland	Dark brown fluid	Surgical excision of the cyst
Dragojević et al[24], 2012	39	GA 40 wk with twin pregnancy after an IVF. Full termed male twins in good condition were delivered by CS. On the 3rd postoperative day, swelling, pain and regional paresthesia of the right labia majora started. On the 7th postoperative day, the same pattern of symptoms occurred in the left labia majora, and the symptoms were more severe than the right-side lesion	An 8 cm swelling at right labia majora; another 11 cm swelling at left labia majora	Partly fluid, partly coagulated blood	Surgical removal of the Bartholin’s gland and regional reconstruction
Bacalbasa et al[25], 2015	27	GA 39 wk with sustained uterine contraction and quasi-complete cervical dilatation. CS was performed after a negative labor test. On the 3rd postoperative day, apparition of two tumoral, renitent lesions with vulvar localization were reported, with mass effect on the distal vagina and anal canal. The anterior perineal region was significantly tumefied and very painful when touched	Two pseudotumoral lesions located respectively on both sides of lateral vaginal wall; the right one size 6 cm × 5 cm, the left one size 4 cm × 3 cm	The cystic content in the perineal MRI was heterogenous and hyperintense in T1	Total bilateral resection of Bartholin’s glands

DM: Diabetes mellitus; GA: Gestational age; IVF: In vitro fertilization; CS: Cesarean section; MRI: Magnetic resonance imaging.