Report of a Case of a Giant Dumb-Bell Shaped Bartholin’s Gland Cyst and Systematic Review of the Literature

Background: Bartholin’s gland cysts are one of the most frequent masses involving vulva. They may start as cysts without symptoms but if untreated, they may grow, leading to infection and consequent surgical treatment. Up to noe the giant and dumb-bell shaped presentation of Bartholin’s gland cyst i...

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Main Authors: Fortunato Genovese, Stefano Siringo, Elisa Leonardi, Attilio Tuscano, Ferdinando A. Gulino, Francesco Cannone, Marco A. Palumbo, Francesco Catania, Stella Capriglione, Francesco G. Martire
Format: Article
Language:English
Published: IMR Press 2022-09-01
Series:Clinical and Experimental Obstetrics & Gynecology
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Online Access:https://www.imrpress.com/journal/CEOG/49/9/10.31083/j.ceog4909202
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author Fortunato Genovese
Stefano Siringo
Elisa Leonardi
Attilio Tuscano
Ferdinando A. Gulino
Francesco Cannone
Marco A. Palumbo
Francesco Catania
Stella Capriglione
Francesco G. Martire
author_facet Fortunato Genovese
Stefano Siringo
Elisa Leonardi
Attilio Tuscano
Ferdinando A. Gulino
Francesco Cannone
Marco A. Palumbo
Francesco Catania
Stella Capriglione
Francesco G. Martire
author_sort Fortunato Genovese
collection DOAJ
description Background: Bartholin’s gland cysts are one of the most frequent masses involving vulva. They may start as cysts without symptoms but if untreated, they may grow, leading to infection and consequent surgical treatment. Up to noe the giant and dumb-bell shaped presentation of Bartholin’s gland cyst is reported once in literature. Methods: We performed an online systematic literature review, using PubMed and Medline search to identify all listed publications around giant dumb-bell shaped Bartholin’s gland cyst larger than 10 cm. We identified a total of 3 cases. Of these 3 cases, 2 cases were giant Bartholin’s duct cyst and only 1 case a giant and dumb-bell shaped Bartholin cyst. We analyzed the diagnosis and the treatment of these 3 cases. Thus, we described our case of a giant and dumb-bell shaped Bartholin cyst and its treatment performed at the Department of Obstetrics and Gynecology of San Marco Hospital in Catania Sicily. After that, we first summarized the large Bartholin’s gland cyst hitherto reported and next we summarized the current knowledge of clinical handling of Bartholin’s gland cyst in general. Results: Apart from clinical examination, perineal ultrasound was very useful in diagnosis, because of providing more information concerning the dimensions, shape and extent of the cyst. The case presented with two large swellings with a main mass superiorly and a smaller one inferiorly and perineal ultrasound allowed us to realize that the two masses of the cyst were connected each other through a narrow neck. The ultrasound scan was useful also during the marsupialization of the cyst. Conclusions: In the current literature this type of giant and dumb-bell shaped presentation of Bartholin’s gland cyst is uncommon and has reported just one time. In addition we highlitght the utility of perineal ultrasound in the management of Bartholin’s gland cyst in order to define a right differential diagnosis between cystic and solid vulvar masses.
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spelling doaj-art-86a2db42b81443febc3f5332a7cf683c2025-08-20T01:58:16ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632022-09-0149920210.31083/j.ceog4909202S0390-6663(22)01819-XReport of a Case of a Giant Dumb-Bell Shaped Bartholin’s Gland Cyst and Systematic Review of the LiteratureFortunato Genovese0Stefano Siringo1Elisa Leonardi2Attilio Tuscano3Ferdinando A. Gulino4Francesco Cannone5Marco A. Palumbo6Francesco Catania7Stella Capriglione8Francesco G. Martire9Gynecological Unit, Department of Surgical Sciences, San Marco Hospital, 95121 Catania, ItalyGynecological Unit, Department of Surgical Sciences, San Marco Hospital, 95121 Catania, ItalyGynecological Unit, Department of Surgical Sciences, San Marco Hospital, 95121 Catania, ItalyGynecological Unit, Department of Surgical Sciences, San Marco Hospital, 95121 Catania, ItalyGynecological Unit, Department of Surgical Sciences, ARNAS Garibaldi Hospital, 95123 Catania, ItalyGynecological Unit, Department of Surgical Sciences, ARNAS Garibaldi Hospital, 95123 Catania, ItalyGynecological Unit, Department of Surgical Sciences, San Marco Hospital, 95121 Catania, ItalyGynecological Unit, Department of Surgical Sciences, Valdarno Hospital, 52025 Montevarchi, ItalyGynecological Unit, Department of Surgical Sciences, Valdarno Hospital, 52025 Montevarchi, ItalyGynecological Unit, Department of Surgical Sciences, University of Rome “Tor Vergata'', 00133 Roma, ItalyBackground: Bartholin’s gland cysts are one of the most frequent masses involving vulva. They may start as cysts without symptoms but if untreated, they may grow, leading to infection and consequent surgical treatment. Up to noe the giant and dumb-bell shaped presentation of Bartholin’s gland cyst is reported once in literature. Methods: We performed an online systematic literature review, using PubMed and Medline search to identify all listed publications around giant dumb-bell shaped Bartholin’s gland cyst larger than 10 cm. We identified a total of 3 cases. Of these 3 cases, 2 cases were giant Bartholin’s duct cyst and only 1 case a giant and dumb-bell shaped Bartholin cyst. We analyzed the diagnosis and the treatment of these 3 cases. Thus, we described our case of a giant and dumb-bell shaped Bartholin cyst and its treatment performed at the Department of Obstetrics and Gynecology of San Marco Hospital in Catania Sicily. After that, we first summarized the large Bartholin’s gland cyst hitherto reported and next we summarized the current knowledge of clinical handling of Bartholin’s gland cyst in general. Results: Apart from clinical examination, perineal ultrasound was very useful in diagnosis, because of providing more information concerning the dimensions, shape and extent of the cyst. The case presented with two large swellings with a main mass superiorly and a smaller one inferiorly and perineal ultrasound allowed us to realize that the two masses of the cyst were connected each other through a narrow neck. The ultrasound scan was useful also during the marsupialization of the cyst. Conclusions: In the current literature this type of giant and dumb-bell shaped presentation of Bartholin’s gland cyst is uncommon and has reported just one time. In addition we highlitght the utility of perineal ultrasound in the management of Bartholin’s gland cyst in order to define a right differential diagnosis between cystic and solid vulvar masses.https://www.imrpress.com/journal/CEOG/49/9/10.31083/j.ceog4909202bartholin's gland cystdumb bell shapedgiantultrasound
spellingShingle Fortunato Genovese
Stefano Siringo
Elisa Leonardi
Attilio Tuscano
Ferdinando A. Gulino
Francesco Cannone
Marco A. Palumbo
Francesco Catania
Stella Capriglione
Francesco G. Martire
Report of a Case of a Giant Dumb-Bell Shaped Bartholin’s Gland Cyst and Systematic Review of the Literature
Clinical and Experimental Obstetrics & Gynecology
bartholin's gland cyst
dumb bell shaped
giant
ultrasound
title Report of a Case of a Giant Dumb-Bell Shaped Bartholin’s Gland Cyst and Systematic Review of the Literature
title_full Report of a Case of a Giant Dumb-Bell Shaped Bartholin’s Gland Cyst and Systematic Review of the Literature
title_fullStr Report of a Case of a Giant Dumb-Bell Shaped Bartholin’s Gland Cyst and Systematic Review of the Literature
title_full_unstemmed Report of a Case of a Giant Dumb-Bell Shaped Bartholin’s Gland Cyst and Systematic Review of the Literature
title_short Report of a Case of a Giant Dumb-Bell Shaped Bartholin’s Gland Cyst and Systematic Review of the Literature
title_sort report of a case of a giant dumb bell shaped bartholin s gland cyst and systematic review of the literature
topic bartholin's gland cyst
dumb bell shaped
giant
ultrasound
url https://www.imrpress.com/journal/CEOG/49/9/10.31083/j.ceog4909202
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