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Vulvar edema in pregnancy: A case report

Charisse Anne F. Aquino, MD and Agnes L. Soriano-Estrella, MD, MHPEd, FPOGS, FPSSTD
Department of Obstetrics and Gynecology, Philippine General Hospital, University of the Philippines-Manila

Isolated massive vulvar edema in pregnancy is rare. The causative mechanisms remain poorly understood but it is probably related to mechanical, osmotic and hormonal factors. The differential diagnoses of vulvar edema include infections, tumors, lymph birth defects, trauma, inflammatory and metabolic diseases. This is a case of a 24-year-old primigravid with twin pregnancy who was admitted at 24 weeks age of gestation for massive vulvar edema. Reported causes of vulvar edema were ruled out. The aim of this report is to discuss the clinical aspects, differential diagnosis, causes and evolution of vulvar edema in pregnancy.