ABSTRACT
Systemic effects are unusual (e.g. fever). Adequate examination is usually not possible because of significant tenderness. A tense, unilateral, inflammed swelling is seen at the base of the affected labium majorum (usually appears 4-5 cm in diameter). This is misleading as the abscess cavity may extend anteriorly into the labium and 8-10 cm posteriorly into the ischio-rectal fat. Examination is not usually required until general anaesthetic has been administered. Opiates may be required if surgery is deferred for any reason (e.g. until daylight hours).
