A Woman With a Painful Labial Swelling

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Presentation transcript:

A Woman With a Painful Labial Swelling Recent Cases at the Denver Metro Health Clinic

Case 22-year old heterosexual woman Painful swelling right labium majus, increasing in size since 4 days Last sex: 1 week ago 2 partners in past 3 months No condom use No birth control

Case Diagnosis: Labial Abscess Treatment: Probably related to shaving of genital area Treatment: Incision and drainage Doxycycline 100 mg bid 7 days

Case At presentation 4 days later

Differential Diagnosis Bartholin’s Cyst / Bartholinitis? No: Bartholin’s cysts are typically located more posterior and protrude into the vaginal introitus from he inside of the labium minus

Discussion Genital shaving is becoming the norm Appears to be associated with: Folliculitis (both men and women) Abscess (especially labial)

Disclaimer Copyright all clinical photos: Dr. Kees Rietmeijer, STD Control Program, Denver Public Health Department Individual slides can be used for educational purposes with reference to source and/or inclusion of the DMHC logo

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