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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Large Vaginal Varicosities in the Setting of Pregnancy without Known Hepatic or Vascular Risks: A Case Report and Review of the Literature
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Large Vaginal Varicosities in the Setting of Pregnancy without Known Hepatic or Vascular Risks: A Case Report and Review of the Literature

机译：没有已知肝或血管风险的妊娠期大阴道静脉曲张：一例病例报告并文献复习

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Pregnancy may cause the onset of vaginal or vulvar varicosities that may be a concern for hemorrhage risk during childbirth. A 38-year-old female G4P1112 at 34 weeks and 1 day was referred to an outpatient OB/Gyn clinic for evaluation of a large vaginal mass. The referring provider had concern for malignancy. Lesions of the vulva were biopsied and found to be benign. For two months prior to presentation, she was experiencing discomfort with walking, yellow vaginal discharge, and dysuria. Treatment with fluconazole showed no improvement. She denied any personal or family history of malignancies, varicosities, or hepatic issues. Past surgical history was significant for laparoscopic cholecystectomy and two cesarean sections. A large vaginal mass during pregnancy is a concern whether it is malignancy or large vaginal varicosities that may put the patient at risk of severe hemorrhage during childbirth. We concluded that the mass was large vaginal varicosities as there was no discernible etiology. A repeat cesarean section was recommended due to the risk of hemorrhage during childbirth. For long-term management, close observation postpartum was recommended. Spontaneous resolution is a potential outcome and this is what our patient experienced. Without an underlying etiology, supportive measures are the best options.
机译：怀孕可能会引起阴道或外阴静脉曲张的发作，这可能是分娩时出血风险的担忧。一名38岁女性G4P1112在第34周零一天被转诊至门诊妇产科诊所以评估大量阴道肿块。转诊提供者担心恶性肿瘤。对外阴病变进行活检，发现是良性的。出诊前两个月，她因行走，白带发黄和排尿困难而感到不适。氟康唑治疗未见改善。她否认有任何个人或家族的恶性肿瘤，静脉曲张或肝病史。过去的手术史对于腹腔镜胆囊切除术和两个剖宫产具有重要意义。无论是恶性肿瘤还是较大的阴道静脉曲张，怀孕期间的大量阴道肿块都可能使患者在分娩时出现严重出血的风险。我们的结论是该肿块是较大的阴道静脉曲张，因为没有可辨认的病因。由于分娩时有出血的危险，建议重复剖腹产。对于长期管理，建议产后密切观察。自发的解决是潜在的结果，这就是我们的患者所经历的。没有基本的病因，支持措施是最好的选择。

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