AJOG Global Reports (May 2024)

When intervention becomes imperative: a case report of spontaneous vulvar edema during pregnancy

  • Vo Anh Vinh Trang, MD,
  • Thao-Ngan Nguyen Pham, MD,
  • Bao Huy Le, MD,
  • Thien Tan Tri Tai Truyen, MD,
  • Hoang Kim Tu Trinh, MD, PhD,
  • Kieu-Minh Le, MSc,
  • Huu Doan Pham, MD,
  • Ngoc Minh Tam Nguyen, MD,
  • Quoc Kha Tran,
  • Phuc Cam Hoang Nguyen, MD, PhD,
  • Vinh Hung Tran, MD, PhD

Journal volume & issue
Vol. 4, no. 2
p. 100339

Abstract

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Spontaneous idiopathic vulvar edema during the second trimester is a rare condition. The approach to managing this condition involves relieving symptoms, identifying underlying causes, and implementing appropriate treatment. Managing such cases during pregnancy is challenging because of concerns for potential adverse fetal outcomes. Conservative management expects the condition to be relieved spontaneously postpartum, whereas invasive treatment offers a more rapid resolution. Treatment choices are controversial because each method has its pros and cons and influences the delivery process to a certain extent. Surgical drainage becomes a viable option when patients are not responsive to medications. We report a case of spontaneous massive vulvar edema in a 22-year-old primigravida in her 23rd week of pregnancy. After ruling out other notable causes of vulvar edema, we decided to intervene using an invasive procedure because she complained of progressive symptoms and discomfort. Subsequently, the edema subsided postprocedure, and the patient experienced successful labor with no complications. This report aims to alert clinicians that drainage attempts should be considered in pregnant patients with worsening symptoms.

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