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Unusual presentation of more common disease/injury
Case report
Giant fibroepithelial vulvar polyp in a pregnant woman
  1. Carolina Smet1,
  2. Tatiana Gigante Gomes2,
  3. Lurdes Silva1 and
  4. Júlio Matias2
  1. 1Obstetrics and Gynecology Department, Hospital de São Francisco Xavier, Lisboa, Lisboa, Portugal
  2. 2Plastic and Reconstructive Surgery Department, Hospital de Egas Moniz, Lisboa, Lisboa, Portugal
  1. Correspondence to Dr Carolina Smet; msmet{at}chlo.min-saude.pt

Abstract

Fibroepithelial polyps are benign lesions that may appear in the vulvovaginal region. They usually occur in women of reproductive age and tend to grow up to 5 cm, but there are some rare cases in which they grow up to 20 cm. We report a case of a 22-year-old woman in the third trimester of her first pregnancy with spontaneous bleeding from a pedunculated mass measuring 15 cm in the widest diameter on the right side of the vulva. Features of this case are discussed as well as its implications, especially regarding the decision of labour. Due to the big size of the mass and its propensity to bleed, we decided to perform an elective caesarean section as well as its excision.

  • obstetrics
  • gynaecology and fertility
  • plastic and reconstructive surgery
  • vulvovaginal disorders
  • pregnancy

https://doi.org/10.1136/bcr-2020-236106

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    Footnotes

    • Contributors CS: interviewed the patient, designed the case report, performed the literature review and drafted as well as revised all the manuscripts. LS: participated in the interview of the patient and proofread all editions of the manuscript. TGG and JM: performed the excisional procedure and proofread all the editions of this manuscript. All the authors and collaborators have approved the final version of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer-reviewed.