Dyspareunia and a tender right labial mass prompt- ed a 20-year-old woman to present to the emer- gency department (ED). She reported regular menses, was nulliparous, and had been treated for pelvic inflammatory disease. She was not taking any medication and used condoms for contraception. She denied fever, vaginal discharge, abdominal pain, and dysuria. The patient had presented several weeks earlier with a labial mass that had been diagnosed as a vulvar sebaceous abscess. It had been treated with incision and drainage, but the mass recurred and was unsuccessfully retreated a total of 3 times. Subsequently, a diagnosis of a Bartholin gland abscess was made. Because the abscess persisted despite incision and drainage procedures, a Word catheter was placed. Nevertheless, the mass continued to be painful and fluctuate in size for about a month without resolution.
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