The Cyst of the Bartholin Gland Mimicking Endometriosis

Özlem Şengül, Ahmet Ferit Dalgacı, Ulaş Çalı, Aydan Kılıçarslan, Ayşe Filiz Avşar
In: Ankara Medical Journal · 2014 · vol. 14(3) · doi:10.17098/amj.48822 · W2003642465
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A hemorrhagic Bartholin gland cyst presenting as a painless vulvar mass mimicked endometriosis but was definitively diagnosed by histopathology.

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Abstract

The cysts of bartholin gland are one of the most common lesions of vulva but endometriosis of the bartholin gland is extremely rare. The lesions of endometriosis may be detected in various different regions. The dark brown content of the cyst usually predicts endometriosis but the exact diagnosis can only be made by pathologic examination. The aim of this case report is to document a cyst of the bartholin gland mimicking endometriosis. A 46- year- old multiparous patient was admitted to our hospital with the complaint of a painless mass in the left vulvar region having been for three years. Her menstruel cycle was regular and she had no dysmenorrhea, dyspareunia and chronic pelvic pain. On gynecological examination, there was a 6 cm septate cystic lesion on the left bartholin gland. During dissection of the cystic lesion, the cyst was ruptured and dark brown fluid was expelled. The definitive histopathology report came out as infectious hemorrhagic bartholin cyst. Hemorrhagic bartholin cysts may mimic endometriosis and differential diagnosis can only be done by histopathologic examination.

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Condition tags

endometriosischronic_pelvic_paindysmenorrheadyspareunia

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