Bartholin gland abscess
Background
Pathogens: E.coli, lesser GC/C
Work-Up
Labs: GC/C
Pts >40 yr/non-healing abscesses - r/o malignancy
Diagnosis
Anatomy: 4 and 8 o'clock position at vag orifice
Treatment
I&D, sitz baths, CTX/doxy for GC/C, clinda/metro/augmentin, word catheter (keep >6 wks better)
Complications
Reinfection common; keeping Word catheter in >6 wks increases likelihood of epithelializ. of new tract
See Also
ID: Abscess
