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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...

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Autores principales: Lindsey, Jennifer S., DeVente, James E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
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.
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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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