Bartholin abscess masquerading as an unusual vaginal prolapse: a case report.
BACKGROUND
Vaginal wall cysts and pelvic organ prolapse, although commonly encountered, rarely occur together. Typically, the differential diagnosis of vaginal wall prolapse includes anterior and/or posterior wall support defects. Although large vaginal cysts have the potential to disturb normal vaginal supports, these coexisting abnormalities are rarely reported.


METHODS
A 39-year-old multipara woman presented with a progressively enlarging vaginal bulge for 6 years, erroneously diagnosed as an enterocele with a unilateral paravaginal support defect. The enterocele was subsequently confirmed to be a 10 x 5-cm, thick-walled cystic mass histologically confirmed to be a Bartholin gland abscess.


CONCLUSIONS
Unusual forms of vaginal prolapse require adequate ancillary investigation such as imaging to avoid diagnostic error and to improve preoperative planning and treatment.
Varghese
Lilly
L
Department of Obstetrics and Gynecology, Christian Medical College, Vellore, India. lillyanil@cmcvellore.ac.in
George
Alice
A
Manipadam
Marie Therese
MT
D000038:Abscess / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D000328:Adult; D001472:Bartholin's Glands / Q000473:pathology / Q000601:surgery; D003560:Cysts / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003951:Diagnostic Errors; D005260:Female; D006547:Hernia / Q000175:diagnosis*; D059685:Herniorrhaphy; D006801:Humans