Ductal-cutaneous fistula secondary to recurrent Bartholin’s cysts: a case report

Proceedings in Obstetrics and Gynecology

article

Danielle M. Ikoma¹  Sarah A. Shaffer¹ 

[1] Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics

关键词: Bartholin’s gland;    recurrent Bartholin’s cysts;    fistula;   

DOI  :  10.17077/2154-4751.31455

学科分类：妇产科学

来源: University of Iowa

【 摘 要 】

Background: Disorders of the Bartholin’s duct and gland, including cyst and abscess formation, account for 2% of gynecologic visits annually. An uncommon complication of a Bartholin’s duct or gland abscess is fistula formation. Literature has described cases of recto-Bartholin’s and recto-vaginal fistulas. Case: We present a case of fistula development between the perineum and the Bartholin’s duct and gland. The patient was successfully managed with fistulectomy and Bartholin’s gland excision. Conclusion: Though fistula formation is a rare complication of Bartholin’s duct and gland pathology, investigation is warranted. A ductal-cutaneous fistula is possible in the setting of recurrent cysts located beyond the vaginal introitus. The best method of prevention is appropriate execution of a marsupialization. Complete removal of the fistulous tract and Bartholin’s duct and/or gland can result in resolution of symptoms.

【 授权许可】

Unknown