Theodorou Georgia, Khomsi Fathi, Bouzerda-Brahami Kawthar, Bouquet de Jolinière Jean, Feki Anis
Department of Gynecology and Obstetrics, Cantonal Hospital of Fribourg HFR, Fribourg, Switzerland.
Case Rep Womens Health. 2020 May 23;27:e00225. doi: 10.1016/j.crwh.2020.e00225. eCollection 2020 Jul.
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.
4%的女性会出现外阴静脉曲张（VVs），其中大多数继发于妊娠，通常会自行消退。孕期的首选治疗方法是保守和对症治疗。非孕期女性外阴静脉曲张的治疗方法有多种，包括静脉切除术、血管内栓塞术或对相关静脉进行手术结扎、硬化疗法，以及最近采用的静脉活性药物MPFF（微粉化纯化黄酮类成分）进行保守治疗。我们报告了一例罕见病例，一名非孕期女性在双侧外阴静脉切除及左侧卵巢静脉栓塞术后，右侧大阴唇出现巨大血肿。该患者接受了这种罕见并发症的切开引流术。在术后近一年的随访中，患者对外阴症状表示舒适且对外观满意。对于外阴静脉曲张，多学科团队协作的方法很重要，需要妇科医生、血管病医生、介入放射科医生和血管外科医生共同参与。
