Question

A woman comes with complaints of pain and swelling in the perineal area. She also has complaints of difficulty in walking and sitting. She gives a history of multiple sexual partners. On examination, a tender swelling is seen with redness on the labia, as shown in the image given below. What is the most likely diagnosis?

• A. Chlamydial infection
• B. Bartholin abscess
• C. Genital Tuberculosis
• D. Herpes infection

Answer 1

The Correct Option is B

The case presented involves a woman experiencing pain and swelling in the perineal area, difficulty in walking and sitting, and a history of multiple sexual partners. Upon examination, there is a tender swelling with redness on the labia.

The most likely diagnosis in this scenario is a Bartholin abscess. Let's evaluate why:

1. Symptoms: Pain and swelling in the perineal region, along with difficulty in walking and sitting, are indicative of an obstruction or infection in that area.
2. Examination Findings: The tenderness and redness on the labia are consistent with an abscess, which commonly affects the Bartholin glands located at the entrance of the vagina.
3. History: While a history of multiple sexual partners may suggest a sexually transmitted infection, the specific presentation aligns more directly with a localized abscess.

Other options:

• Chlamydial infection: Generally presents with discharge and may cause pelvic pain, not typically a localized swelling with redness.
• Genital Tuberculosis: This would present with chronic symptoms, often more systemic, not acute perineal swelling.
• Herpes infection: Typically presents with painful vesicular lesions rather than a large tender swelling.

Based on the symptom profile and examination findings, a Bartholin abscess is the most likely diagnosis.