Presentation
Patient noticed a major lump since 5 months in left labia major. She has mild tenderness.
Patient Data
There is an ovoid lesion seen in the left labia majora measuring 23.0 mm x 23.0 mm x 21.0 mm which has a fluid-fluid level, does not restrict or enhance, is isointense/hyperintense on T2 and hypointense on T1 in keeping with a Bartholin's cyst. No other focal abnormality otherwise identified.
Conclusion: Ovoid lesion as described in the left labia majora has imaging characteristics in keeping with a Bartholin's cyst which does not appear infected.
Case Discussion
Bartholin gland cyst occurs in 3% of adult women 1. It is often difficult to differentiate between Bartholin cyst and Bartholin abscess on physical examination, therefore imaging is increasingly being used as part of the diagnostic evaluations 1,2.
Case also Courtesy of Dr. Zane Sherif and Mr. Ben Kennedy