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Unilateral vulvar edema after operative laparoscopy: a case report and literature review.

Pados G, Vavilis D, Pantazis K, Agorastos T, Bontis JN

1st Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, "Hippocration Hospital," Thessaloniki, Greece. padosgyn@hol.gr

OBJECTIVE: To report a case of unilateral vulvar edema occurring after operative laparoscopy and to review the relevant literature. DESIGN: Case report. SETTING: University hospital. PATIENT(S): An 18-year-old woman with a single ovarian cyst. INTERVENTION(S): The patient underwent laparoscopic ovarian cystectomy and 1,000 mL of adhesion barrier solution was instilled in the peritoneal cavity at the end of the procedure. MAIN OUTCOME MEASURE(S): Treatment of ovarian cyst and prevention of adhesion formation with adhesion barrier solution. RESULT(S): Development of unilateral vulvar edema 3 hours postoperatively. CONCLUSION(S): Vulvar edema after operative laparoscopy is an uncommon complication, the mechanism of which remains unclear. The condition is self-limited and resolves with conservative management.

Published 11 February 2005 in Fertil Steril, 83(2): 471-3.
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