Volume 7, Issue 2, August 2014, Pages 631–633
Hicham El Fazazi1, Youssef Benabdejlil2, Mouna Achenani3, Saida Mezane4, Jaouad Kouach5, Driss Moussaoui6, and Mohammed Dehayni7
1 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
2 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
3 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
4 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
5 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
6 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
7 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: English
Copyright © 2014 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Isolated massive vulval edema in pregnancy is rare. The causative mechanisms remains poorly understood but it is probably related to mechanical, osmotic and hormonal factors. The differential diagnosis of vulval edema includes infections, tumors, lymph birth defects, trauma, inflammatory and metabolic diseases. The authors report a case of a 27 year-old primigravida woman with twin pregnancy who was admitted to the obstetrical emergency at 37 weeks of gestation for a severe anemic syndrom associated to a massive vulval edema with no sign of pre-eclampsia. Biological examination showed a severe microcytic hypochromic anemia associated to a hypoproteinemia. Other causes of vulval edema were excluded. After blood transfusion, the patient gave birth by Caesarean section. In the post partum period, the vulval edema resolved progressively. By the fourteenth day post cesarean section, the vulval edema had completely regressed. Three weeks later, a spontaneous regression of the vulval edema was observed. The aim of this report this case is to discuss the clinical aspects, differential diagnosis, causes and evolution of vulval edema in pregnancy.
Author Keywords: Massive vulval edema, twin pregnancy, anemia, hypoprotidemia, post partum period.
Hicham El Fazazi1, Youssef Benabdejlil2, Mouna Achenani3, Saida Mezane4, Jaouad Kouach5, Driss Moussaoui6, and Mohammed Dehayni7
1 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
2 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
3 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
4 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
5 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
6 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
7 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: English
Copyright © 2014 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Isolated massive vulval edema in pregnancy is rare. The causative mechanisms remains poorly understood but it is probably related to mechanical, osmotic and hormonal factors. The differential diagnosis of vulval edema includes infections, tumors, lymph birth defects, trauma, inflammatory and metabolic diseases. The authors report a case of a 27 year-old primigravida woman with twin pregnancy who was admitted to the obstetrical emergency at 37 weeks of gestation for a severe anemic syndrom associated to a massive vulval edema with no sign of pre-eclampsia. Biological examination showed a severe microcytic hypochromic anemia associated to a hypoproteinemia. Other causes of vulval edema were excluded. After blood transfusion, the patient gave birth by Caesarean section. In the post partum period, the vulval edema resolved progressively. By the fourteenth day post cesarean section, the vulval edema had completely regressed. Three weeks later, a spontaneous regression of the vulval edema was observed. The aim of this report this case is to discuss the clinical aspects, differential diagnosis, causes and evolution of vulval edema in pregnancy.
Author Keywords: Massive vulval edema, twin pregnancy, anemia, hypoprotidemia, post partum period.
How to Cite this Article
Hicham El Fazazi, Youssef Benabdejlil, Mouna Achenani, Saida Mezane, Jaouad Kouach, Driss Moussaoui, and Mohammed Dehayni, “Isolated massive vulval edema in pregnancy: A case report,” International Journal of Innovation and Applied Studies, vol. 7, no. 2, pp. 631–633, August 2014.
