Bartholin abscess — DRCOG MCQ

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HardGynaecologyBartholin abscessDRCOG

A 22-year-old woman has a painful unilateral vulval swelling with fever and difficulty sitting. What is the most likely diagnosis?

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Correct answer: B — Bartholin gland abscess

Bartholin gland abscess is the best answer because the vignette is testing Bartholin abscess and the recommended approach is consistent with NICE CKS Bartholin cyst. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Endometrial cancer; Placenta praevia; Ectopic pregnancy; Postpartum endometritis would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.

Reference: NICE CKS Bartholin cyst