massive vulvar oedema

massive vulvar oedema

Oedema of severe magnitude that almost invariably arises in a background of systemic disease.

Aetiology
Pregnancy, hypoproteinaemia, tocolysis, vulvovaginitis, Crohn's disease, artificial ascites for adhesiolysis with dextran and pre-eclampsia.

DiffDx
Infections, neoplasms, congenital lymphatic anomalies, trauma, inflammation, metabolic disorders.

Management
Treat underlying disease, including hypoproteinaemia, if present.

Prognosis
While it usually follows a banal course, massive vulvar oedema that develops in the immediate postpartum period has a high mortality and causes maternal death due to vascular collapse.
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