3 Days Of Severe in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#424

SMLE Question #424

Obstetrics & Gynecology General Gynecology
Last updated: February 2026
A 27-year-old sexually active woman presents with 3 days of severe left vulvar pain and swelling, making walking and sitting difficult. She has no fever or systemic symptoms. Pelvic examination shows a tender, fluctuant, erythematous mass at the 5 o’clock position near the posterior introitus. The cervix appears normal without discrete lesions. What is the most likely diagnosis?

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