A 25-year-old woman presents to the GP with an acutely painful, tense swelling at the left vaginal introitus. On examination, there is a 4 cm, erythem...

Question

A 25-year-old woman presents to the GP with an acutely painful, tense swelling at the left vaginal introitus. On examination, there is a 4 cm, erythematous, fluctuant, tender swelling at the 7 o'clock position. She is systemically well. Which is the single most appropriate definitive management?

Accepted Answer

Refer for incision and drainage with marsupialisation or Word catheter insertion

Answer

Prescribe oral co-amoxiclav and review in 48 hours

Answer

Apply warm compresses and await spontaneous resolution

Answer

Aspirate the abscess with a needle in the GP surgery

Answer

Prescribe oral metronidazole only

uk-drcog MCQ (SBA): Bartholin's Abscess - Definitive Treatment

A 25-year-old woman presents to the GP with an acutely painful, tense swelling at the left vaginal introitus. On examination, there is a 4 cm, erythematous, fluctuant, tender swelling at the 7 o'clock position. She is systemically well. Which is the single most appropriate definitive management?