Labia minora necrosis secondary to bilateral Bartholin cyst resection: a case report

Authors

  • Karla Durán Moreno Department of Urogynecology, University Hospital Regional Materno Infantil, Monterrey, Nuevo Leon, Mexico
  • Filiberto Martínez Cabrales Department of Urogynecology, University Hospital Regional Materno Infantil, Monterrey, Nuevo Leon, Mexico
  • Luisa Fernanda Rivas Penilla Department of Urogynecology, University Hospital Regional Materno Infantil, Monterrey, Nuevo Leon, Mexico

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20241083

Keywords:

Bartholin gland cysts, Labia minora necrosis, Labiaplasty

Abstract

This is a case report of a necrosis of labia minora secondary to bilateral Bartholin cyst resection. A 48-year-old woman with history of bilateral Bartholin cyst resection in the previous month, she presented a discontinuity of the right labia minora in its upper segment of 2x3 cm, she reported no pain or discomfort, no dyspareunia. A labiaplasty with edge resection technique was performed there were no signs of hematoma or any complications in the procedure. In a 3 month follow up we observed a resolution of necrosis, no dyspareunia and had adequate aesthetic results. This is a rare complication in large Bartholin gland cysts, there is scarce literature about it and there is no evidence as to which labiaplasty technique is superior in the case of this complication. We present an option of treatment in a labia minora necrosis due to a surgical complication.

References

Illingworth B, Stocking K, Showell M, Kirk E, Duffy J. Evaluation of treatments for Bartholin’s cyst or abscess: A systematic review. BJOG: Int J Obstetr Gynaecol. 2020;127(6):671-8.

Zhan P, Li G, Liu B, Mao X-G. Bartholin gland carcinoma: A case report. Oncol Letters. 2014;8(2):849-51.

Akbarzadeh Jahromi M, Sari Aslani F, Samsami Dehghani A, Mahmoodi E. Bartholin’s gland bilateral nodular hyperplasia: A case report study. Iranian Red Crescent Med J. 2014;16(6):235-41.

Berger MB, Betschart C, Khandwala N, DeLancey JO, Haefner HK. Incidental bartholin gland cysts identified on pelvic magnetic resonance imaging. Obstetr Gynecol. 2012;120(4):798-802.

Nohales F, Calvo P, Garcia-Gamón M, Monfort R, Valle A. La Escisión de la glándula de bartholin como causa de Distorsión Anatómica y dolor vulvar. Clínica Investigación Ginecología Obstetr. 2019;46(4):170-5.

Chêne G, Tardieu AS, Nohuz E, Rabischong B, Favard A, Mage G. Complications postopératoires des bartholinites aiguës. À propos de Deux Cas. Gynécologie Obstétrique Fertilité. 2006;34(7-8):615-8.

Bensardi FZ, Kabura S, Layla E, El Bakouri A, Bouali M, El Hattabi K, et al. Bartholin’s gland abscess a rare cause of rectovaginal fistula: A case report and literature review. Int J Surg Case Reports. 2021;86:106344.

Oranges CM, Sisti A, Sisti G. Labia minora reduction techniques: A comprehensive literature review. Aesthetic Surg J. 2015;35(4):419-31.

Downloads

Published

2024-04-26

Issue

Section

Case Reports