Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 6, 2023; 11(31): 7732-7737
Published online Nov 6, 2023. doi: 10.12998/wjcc.v11.i31.7732
Huge Bartholin’s cyst managed by primary marsupialization: A case report
Hao-Yu Li, Dah-Ching Ding
Hao-Yu Li, Dah-Ching Ding, Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, Hualien 970, Taiwan
Dah-Ching Ding, Institute of Medical Sciences, Tzu Chi University, Hualien 970, Taiwan
Author contributions: Ding DC contributed to the conceptualization, methodology, formal analysis, writing of the original draft, review and editing; Li HY contributed to data curation and writing of the original draft; All authors have read and agreed to the published version of the manuscript.
Informed consent statement: Written informed consent was obtained from the patient to publish this paper.
Conflict-of-interest statement: The authors declare having no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dah-Ching Ding, MD, PhD, Professor, Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, No. 707 Chung-Yang Road, Sec. 3, Hualien 970, Taiwan. dah1003@yahoo.com.tw
Received: September 19, 2023
Peer-review started: September 19, 2023
First decision: September 20, 2023
Revised: September 22, 2023
Accepted: October 17, 2023
Article in press: October 17, 2023
Published online: November 6, 2023
Processing time: 48 Days and 6.2 Hours
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.

CASE SUMMARY

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.

CONCLUSION

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.

Keywords: Bartholin’s cyst; Huge; Marsupialization; Cystectomy; Antibiotics; Case report

Core Tip: We report on a case of a large Bartholin’s cyst. We present updated information regarding the symptoms, signs, diagnosis, and treatment of this condition. Because of the rarity of large Bartholin’s cysts, we developed a strategy to diagnose and treat this type of cyst.