Resection and Advancement Flap Closure of a Combined Vascular Malformation of the Mons Pubis

Pelvic Lymphovascular Malformation Presenting as a Vulvar Mass in an Adolescent Female

BACKGROUND

Lymphovascular malformations (LVMs) uncommonly present outside the head and neck region as slow-growing nontender masses. Given their rarity, LVMs are not regularly on the differential for genitopelvic masses. These anomalies are not usually dangerous due to their slow progression and distance from vital structures. Recognition of benign LVMs is important to appropriately counsel regarding treatment options and follow-up.

CASE

We describe an occurrence of an extensive pelvic LVM in an adolescent female presenting as a persistent, increasingly uncomfortable growing vulvar mass, highlighting the importance of keeping this diagnosis in mind when dealing with unusual genital masses.

SUMMARY AND CONCLUSION

A multidisciplinary approach including consultation with an interventional radiologist and pediatric hematologist is paramount in providing timely care when dealing with a rare diagnosis.

Vulvar Arteriovenous Malformation in a 16-Year-Old Girl

BACKGROUND

Congenital arteriovenous malformations (AVMs) are infrequent but represent a serious medical challenge because of their unpredictable progression and high hemodynamic activity.

CASE

We report on the treatment of a voluminous vulvar AVM in a 16-year-old girl. After failure of medical therapy, we performed a radical surgical resection with preliminary embolization and flap reconstruction.

SUMMARY AND CONCLUSION

A multidisciplinary approach is required for AVM management. Early intervention and complete surgical resection combined with preliminary embolization represents the ideal therapy.

Congenital vascular malformations

Congenital vascular anomalies may occur at any anatomical region, but genital vascular anomalies in women are rare findings. Therefore the majority of the problems in pregnancy are due to secondary complications of vascular anomalies (especially in syndromes). Proper knowledge of these disorders and the necessities in diagnosis and management is essential.