Labial abscess

LEFT LABIAL ABSCESS

Case – 01 (Translabial Scan)

Translabial Sonography

SUMMARY

A left labial abscess is a localized collection of infected fluid within the labial soft tissues. Translabial ultrasound may help characterize the collection, document its dimensions and extent, and assess surrounding soft-tissue changes. The relationship to the Bartholin gland should be evaluated when the location and visualization permit.

CLINICAL PRESENTATION

Clinical indication: left labial swelling and/or pain. Correlate with the patient's symptoms, physical examination, and relevant clinical history.

ULTRASOUND FINDINGS

• Left Labial Soft Tissues: A focal collection measuring 32 × 12 mm is identified in the left labial soft tissues, in keeping with the supplied clinical indication of a labial abscess. Internal echoes, margins, and the extent of the collection should be described according to the actual scan.
• Surrounding Soft Tissues: Assess for surrounding edema, inflammatory change, and any extension into adjacent perineal or vulvovaginal soft tissues.
• Right Labial Soft Tissues: Assess the visualized right labial soft tissues for any focal lesion, collection, or inflammatory change.
• Vulvovaginal Region and Vaginal Wall: Document the appearance of the visualized vulvar, perivaginal soft tissues, and vaginal wall, including any associated collection or abnormal thickening.
• Urethral Region: Assess the periurethral region for any focal cystic lesion or collection, if adequately visualized.
• Bartholin Gland Region: Assess the relationship of the left labial collection to the Bartholin gland to determine whether a Bartholin gland origin is present.
• Color Doppler: If Doppler assessment is performed, document peripheral and internal vascularity of the collection and adjacent soft tissues.
• Pelvic Floor / Perineal Musculature: Assess the visualized pelvic floor and perineal musculature for involvement, focal defect, or associated collection.
• Additional Findings: Document any additional abnormality or extension identified in the visualized translabial soft tissues.

ULTRASOUND IMPRESSION

Left labial collection measuring 32 × 12 mm, suggestive of a labial abscess in the appropriate clinical setting. The relationship to the Bartholin gland and the extent of surrounding inflammatory change should be reported only if confirmed on the examination.

DIFFERENTIAL CONSIDERATIONS

• Labial soft-tissue abscess.
• Bartholin gland abscess, if the collection is centered on the Bartholin gland region.
• Other infected or inflamed vulvar/perineal cystic lesions, depending on the precise location and sonographic appearance.

CLINICAL CORRELATION

Correlate with local pain, swelling, erythema, tenderness, fever, and physical examination findings. Gynecological assessment is recommended to guide management. Urgent clinical review is appropriate if there is fever, rapidly progressive swelling, severe pain, or systemic illness.

KEY POINT

Educational note: The provided measurement is 32 × 12 mm. Confirm and document the collection's three-dimensional measurements when obtainable, internal echoes, margins, surrounding edema, Doppler characteristics, and relationship to the Bartholin gland during the actual examination. This is an educational template; edit it to include only findings verified on the scan before clinical use.

To edit, select “Edit Report”, then click any report text and type.

TRANS LABIAL ULTRASOUND

Patient	Male Patient	Age	39 Years
Sex	Male	Referral Dr.	Dr. ____________________

Clinical History

Clinical indication: Left labial swelling / pain. Correlate with the presenting symptoms.

Ultrasound Findings

Left Labial Soft Tissues: A focal collection measuring 32 × 12 mm is noted within the left labial soft tissues, in keeping with the supplied clinical indication of a labial abscess. The internal echoes, margins, surrounding edema, and extent of the collection should be documented according to the actual scan.

Right Labial Soft Tissues: Assess and document the right labial soft tissues for any focal lesion, collection, or inflammatory change.

Vulvovaginal Region: Assess the visualized vulvar and perivaginal soft tissues for associated edema, abnormal thickening, or extension of the collection.

Vaginal Wall: Document the appearance of the visualized vaginal wall and whether any focal lesion or adjacent collection is identified.

Urethral Region: Assess the periurethral region for any focal cystic lesion or collection, if adequately visualized.

Bartholin Gland Region: Assess the relationship of the left labial collection to the Bartholin gland to determine whether a Bartholin gland origin is present.

Color Doppler: Document peripheral and internal vascularity of the collection, if Doppler assessment is performed.

Pelvic Floor / Perineal Musculature: Assess the visualized pelvic floor and perineal musculature for involvement, focal defect, or associated collection.

Additional Findings: Document any additional abnormality or extension identified in the visualized translabial soft tissues.

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Impression

Left labial collection measuring 32 × 12 mm, suggestive of a labial abscess in the appropriate clinical setting.

Recommendation

Clinical and gynecological correlation is recommended. Assess for a possible Bartholin gland origin. Further management, including drainage if clinically indicated, should be guided by clinical evaluation.

Limitations / Technical Factors

The final report should include only findings confirmed during the actual examination. Document the collection's morphology, extent, surrounding inflammatory changes, and Doppler characteristics when assessed.

Kindly Note

This report is a template and must be reviewed and edited to match the actual ultrasound findings before clinical use.