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Background
Massive isolated oedema of the vulva is rare and appears as sequelae of underlying systemic disease in pregnancy. 1 2 We present a case of massive vulval oedema confined to the labia minora.
Case presentation
A fit and healthy 19-year-old primigravida was referred from primary care in her 35th week of pregnancy, with vulval pain and swelling. The site and size of the swelling was a cause of immense discomfort and pain (she was unable to sit or wear underclothes).
Examination revealed bilateral swelling of the labia minora, right (10x5 cm) and left (5x5 cm), which was tender to touch and erythematous ( figure 1 ). The patient was being managed as preeclamptic as she had one episode of raised blood pressure on admission; she was also started on oral antibiotics for a possible urinary tract infection. She was treated for possible candidiasis and started on acyclovir for herpes, with...