Bartholinitis

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Barthonlincyst2011.png
Classification according to ICD-10
N75 Diseases of the Bartholin's glands
N75.1 Bartholin's abscess
N75.8 Other diseases of the Bartholin glands
- Bartholinitis
ICD-10 online (WHO version 2019)

In gynecology, Bartholinitis is the inflammation of the ducts of the Bartholin's gland , usually caused by Escherichia coli , Neisseria gonorrhoeae , Staphylococcus aureus or Chlamydia trachomatis . The gland itself is usually not affected.

The inflammation often leads to an empyema the size of a chicken egg , an accumulation of pus in the gland duct in the lower third of the large and small labia with adhesions of the ducts, known as Bartholin's abscess . Usually only one side is affected.

diagnosis

Pain, swelling and reddening are essential for the diagnosis . General symptoms such as fever are very rare. It typically affects women between the ages of 20 and 30. The picture of the disease is usually clear, occasionally a large boil (inflammation of the hair follicle, here the pubic hair ) can cause a similar clinical picture.

complication

As complications from spreading inflammation to the surrounding area or chronicity with development of a can Bartholin's cyst arise.

therapy

For therapy using antibiotics to relieve even envelopes or sitz baths can be displayed. In resistance to therapy, especially for known encapsulation, may need to be surgically one marsupialization be made.

literature