Vulvar Haematoma Following Laparoscopic Endometrioma Excision: Report of A Rare Complication

Surgical management of a large postoperative vulvar haematoma following vulvar phlebectomy and ovarian vein embolization for vulvar varicose veins: A case report

Vulvar varicose veins (VVs) are seen in 4% of women, most of them secondary to pregnancy and usually regressing spontaneously. The treatment of choice during pregnancy is conservative and symptomatic. Management of vulvar varicosities in non-pregnant women consists of various techniques, including phlebectomy, endovascular embolization or surgical ligation of contributing veins, sclerotherapy and, recently, conservative treatment with the venoactive agent MPFF (micronized purified flavonoid fraction). We report an unusual case of a large hematoma of the right labium majus following bilateral vulvar phlebectomy and embolization of the left ovarian vein. The patient was a non-pregnant woman, who underwent incision and drainage of this rare complication. At follow-up almost a year after this procedure the patient reported comfort and cosmetic satisfaction regarding her vulvar symptoms. A multidisciplinary team approach to vulvar varicosities is important, with the involvement of gynecologists, angiologists, interventional radiologists and vascular surgeons.

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Vulvar varicose veins remains a uncommon disease with various treatments available, surgical as well as conservative

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Serious complications after treatment of vulvar varicose veins have never been reported in the literature until today

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We report a case of a large hematoma of the right labium majus following vulvar phlebectomy and ovarian vein embolization

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The hematoma was successfully treated with surgical evacuation and the patient reported comfort and cosmetic satisfaction

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Multidisciplinary team approach is essential in order to provide an optimal choice of treatment for vulvar varicose veins