Identifier: gynecologicaldia00burr (find matches)
Title: Gynecological diagnosis
Year: 1910 (1910s)
Authors: Burrage, Walter L. (Walter Lincoln), 1860-1935
Subjects: Women
Publisher: New York, London, D. Appleton and Company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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ffl;; ^K duct Abscess of duct , J \ K6r/and laid opeq J Fig. 175.—Abscess of the Ducts of Both Bartholins Glands. (After Huguier.) later stages of gonococcus infection. Then there is a recurrence ofheat and burning in the vulva with sharp pains, slight elevation oftemperature, and tenderness of the tissues, the symptoms beingaggravated by standing, walking, and sitting even, the patientbeing most comfortable in the recumbent posture. There may beretention of urine, or the urine simply smarts. Examinationshows swelling and edema of the labium and sometimes pus escapes ABSCESS OF BARTHOLINS GLAND 411 from the orifice of the duct on the inner surface, or the abcess maybe evacuated spontaneously through openings below the orifice.The inguinal lymphatic glands are affected sometimes and a bubo results. After the subsidence of the acute inflammation the vulvo-vaginal gland is apt to remain in a state of chronic inflammationand a drop of pus, perhaps with a greenish tinge, or a muco-puru-
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Fig. 176.—Abscess of Both Bartholins Glands. (After Huguier.) A Dropof Pus is shown in the Orifice of Each Duct. Note Relation of Orifices toIntroitus Vaginae. lent discharge issues from the duct. At this stage the orifice issurrounded by a red areola which resembles a flea bite, the so-calledmacula gonorrhoica of Sanger. It is in this stage that infection isapt to be transmitted to the male and light up in his urethra anacute gonorrhea, or it may cause puerperal sepsis or ophthalmianeonatorum. Relapse is common in abscess of Bartholins gland 412 DISEASES OF THE VULVA and the opposite gland may become infected, therefore promptsurgical treatment is indicated. Smears should be made from thedischarges and examined for the gonococcus. DIFFERENTIAL DIAGNOSIS OF CYSTS AND ABSCESS In cases of long-standing inflammation the tissues may be sothickened that malignant disease is simulated. Microscopic ex-amination of tissue excised will establish the diagnosis. A rectalfistula discharging thr

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