Massive vulvar edema in a woman with complicated preeclampsia

Dalia Laužikienė 1,2,3, Mykolas Pavlauskas 3, Diana Ramašauskaitė 1,3, Audronė Arlauskienė 1, Jolita Zakarevičienė 1,3

1 Vilnius University Hospital Santaros Klinikos, Center of Obstetrics and Gynecology

2 Department of Pathological Pregnancy

3Vilnius University, Faculty of Medicine


In this case study we report a massive vulvar edema in a 19-year-old primigravida women with complicated preeclampsia at 36 weeks of gestation. The massive vulvar edema appeared 3 days prior to admission and was visibly worsening within the first few hours of admission. According to the patient, the blood pressure before hospitalization was within normal range, but during the admission, the blood pressure was high and the blood panel results have shown the severe proteinuria. The immediate cesarean section was indicated because the fetus and mother were in distress. The blood test results and vulvar edema had resolved within few weeks after the procedure. Therefore, the aim of this study is to show how serious can a preeclampsia get and how important is to urgently respond with conservative or surgical management to this complicated condition with a worsening scenario, because it is an extremely difficult situation for a clinician when the serious conditions present atypically.

Keywords: complicated pregnancy, vulvar edema, preeclampsia.