Diagnosis and differential diagnosis of Bartholinitis

Bartholinitis usually occurs in women of childbearing age. The main pathogens are Staphylococcus, Escherichia coli, Streptococcus, Enterococcus, Neisseria gonorrhoeae and anaerobic bacteria. In recent years, the incidence of Bartholinitis caused by Neisseria gonorrhoeae has increased significantly. Bartholinitis should be differentiated from Bartholin's gland cyst. Let's see how to make a differential diagnosis.

Disease Overview:

The Bartholin's glands grow below and behind the labia majora on both sides, opening into the groove between the vaginal opening, labia minora and hymen. Due to the characteristics of the anatomical location, pathogens can easily invade and cause inflammation. Vulvar ulcers often occur on the inner side of the labia majora and labia minora, and are more common in middle-aged and young people. The main manifestations are varying depths of epidermal damage in the vulva, which often recurs and is difficult to cure. If vulvar ulcers occur at the same time as eye inflammation and oral ulcers, it is called eye, mouth, and genital syndrome, which may be accompanied by high fever and local severe pain. Repeated attacks have a poor prognosis. It is also called Behcet's disease in clinical practice.

Disease Description:

The Bartholin's glands grow below the labia majora on both sides, opening into the groove between the vaginal opening, labia minora and hymen. Due to the characteristics of the anatomical location, pathogens can easily invade and cause inflammation. If the gland opening is blocked due to congestion and increased secretions caused by inflammation, the exudate accumulates in the gland cavity and forms a protruding mass - Bartholin's gland cyst.

Symptoms and signs:

1. During the acute inflammatory period, one side of the labia majora will experience pain, burning, redness and swelling.

2. After the abscess is formed, there is a sense of fluctuation and obvious tenderness, the epidermis becomes red and thin, and it may rupture on its own. It is often accompanied by swollen inguinal lymph nodes.

3. Bartholin's gland cysts grow slowly and are asymptomatic, and some patients have a history of Bartholin's glanditis.

Diagnostic tests:

1. During the acute inflammatory period, one side of the labia majora will experience pain, burning, redness and swelling.

2. After the abscess is formed, there is a sense of fluctuation and obvious tenderness, the epidermis becomes red and thin, and it may rupture on its own. It is often accompanied by swollen inguinal lymph nodes.

3. Bartholin's gland cysts grow slowly and are asymptomatic, and some patients have a history of Bartholin's glanditis.

Warm reminder: The above is the expert’s introduction to “Bartholin’s glanditis should be differentiated from Bartholin’s gland cyst”. If you suffer from Bartholin’s glanditis, you must seek timely treatment.