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• W2604644154 abstract "Congenital vulvar venous malformations are a rare cause of vulvar pain and discomfort in prepubertal girls. The treatment of these malformations can be challenging due to anatomic location and potential side effects. Given the rarity of vulvar venous malformations, misdiagnosis is also possible. Treatment options for symptomatic lesions include sclerotherapy, surgical excision, or a staged treatment using both modalities. We present a case of surgical excision of a congenital vulvar venous malformation in a 9-year-old girl. A 9-year-old female presented with a rapidly enlarging and painful vulvar mass following groin trauma while wrestling with her sister five days prior. Her parents reported that she had been diagnosed with a vulvar hemangioma at birth and had been instructed that the lesion would likely regress. Examination revealed a tender 5.0 x 3.0 cm bluish swelling in the left labia minora with associated edema. Expectant management with non-steroidal anti-inflammatories and cold compresses was recommended. Unfortunately, over the next three weeks, the patient had persistent pain, prompting additional evaluation. A Doppler ultrasound was obtained and revealed a 4.9 x 1.5 cm vascular malformation in the labia, without apparent extension to other structures. Surgical excision was performed (Fig 1) with pathology confirming venous vascular malformation with organized thrombosis. One month postoperatively the patient had a good cosmetic result (Fig 2), no pain, and was satisfied with her treatment. Venous malformations of the vulva are rare and should be distinguished from hemangiomas, hematomas, and varicosities. While hemangiomas will often regress spontaneously prior to puberty, congenital venous malformations fail to regress and may enlarge after puberty. Both sclerotherapy and surgical excision are valid treatment approaches for venous malformations. Surgical excision can be associated with excessive bleeding, poor cosmetic result, incomplete resection, or nerve damage, while sclerotherapy can be associated with tissue necrosis, nerve damage, severe pain, and recurrence. While sclerotherapy has gained popularity for treatment of these lesions and shows promising results, it is not without risk. This case demonstrates that surgical excision is also a valid treatment options for symptomatic lesions.Fig 21 month post-operative examination.View Large Image Figure ViewerDownload Hi-res image Download (PPT)" @default.
• W2604644154 created "2017-04-14" @default.
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• W2604644154 date "2017-04-01" @default.
• W2604644154 modified "2023-10-18" @default.
• W2604644154 title "Surgical Excision of Vulvar Venous Malformation Following Trauma" @default.
• W2604644154 doi "https://doi.org/10.1016/j.jpag.2017.03.093" @default.
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