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Surgical Management of Massive Labial Edema in a Gravid Preeclamptic Diabetic
Background. Massive labial edema is a rare complication during pregnancy that can jeopardize vaginal delivery, as well as leading to maternal and fetal morbidity. It can be related to systemic pathologies, but has been commonly associated with preeclampsia and diabetes. This increased and sometimes...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4209787/ https://www.ncbi.nlm.nih.gov/pubmed/25371838 http://dx.doi.org/10.1155/2014/935267 |
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author | Lindsey, Jennifer S. DeVente, James E. |
author_facet | Lindsey, Jennifer S. DeVente, James E. |
author_sort | Lindsey, Jennifer S. |
collection | PubMed |
description | Background. Massive labial edema is a rare complication during pregnancy that can jeopardize vaginal delivery, as well as leading to maternal and fetal morbidity. It can be related to systemic pathologies, but has been commonly associated with preeclampsia and diabetes. This increased and sometimes longstanding pressure may result in a “labial compartment syndrome” leading to microvascular damage and tissue necrosis if not resolved in a timely fashion. Case. Massive labial edema was treated first conservatively and then surgically in a gravid diabetic patient with severe preeclampsia. Immediately after Cesarean section, the labial compartment syndrome was relieved surgically and resolved rapidly. Conclusion. When conservative attempts at management of labial edema fail, or rapid resolution is critical to maternal and fetal outcome, surgical alternatives should be considered. |
format | Online Article Text |
id | pubmed-4209787 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-42097872014-11-04 Surgical Management of Massive Labial Edema in a Gravid Preeclamptic Diabetic Lindsey, Jennifer S. DeVente, James E. Case Rep Obstet Gynecol Case Report Background. Massive labial edema is a rare complication during pregnancy that can jeopardize vaginal delivery, as well as leading to maternal and fetal morbidity. It can be related to systemic pathologies, but has been commonly associated with preeclampsia and diabetes. This increased and sometimes longstanding pressure may result in a “labial compartment syndrome” leading to microvascular damage and tissue necrosis if not resolved in a timely fashion. Case. Massive labial edema was treated first conservatively and then surgically in a gravid diabetic patient with severe preeclampsia. Immediately after Cesarean section, the labial compartment syndrome was relieved surgically and resolved rapidly. Conclusion. When conservative attempts at management of labial edema fail, or rapid resolution is critical to maternal and fetal outcome, surgical alternatives should be considered. Hindawi Publishing Corporation 2014 2014-10-12 /pmc/articles/PMC4209787/ /pubmed/25371838 http://dx.doi.org/10.1155/2014/935267 Text en Copyright © 2014 J. S. Lindsey and J. E. DeVente. https://creativecommons.org/licenses/by/3.0/ 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. |
spellingShingle | Case Report Lindsey, Jennifer S. DeVente, James E. Surgical Management of Massive Labial Edema in a Gravid Preeclamptic Diabetic |
title | Surgical Management of Massive Labial Edema in a Gravid Preeclamptic Diabetic |
title_full | Surgical Management of Massive Labial Edema in a Gravid Preeclamptic Diabetic |
title_fullStr | Surgical Management of Massive Labial Edema in a Gravid Preeclamptic Diabetic |
title_full_unstemmed | Surgical Management of Massive Labial Edema in a Gravid Preeclamptic Diabetic |
title_short | Surgical Management of Massive Labial Edema in a Gravid Preeclamptic Diabetic |
title_sort | surgical management of massive labial edema in a gravid preeclamptic diabetic |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4209787/ https://www.ncbi.nlm.nih.gov/pubmed/25371838 http://dx.doi.org/10.1155/2014/935267 |
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