Obstetrics and Gynecology Department, Hospital de São Francisco Xavier, Lisboa, Lisboa, Portugal
Plastic and Reconstructive Surgery Department, Hospital de Egas Moniz, Lisboa, Lisboa, Portugal.
BMJ Case Rep. 2021 Jan 11;14(1):e236106. doi: 10.1136/bcr-2020-236106.
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.
纤维上皮性息肉是一种良性病变,可能出现在外阴阴道区域。它们通常发生在育龄妇女中,倾向于生长至 5 厘米,但也有一些罕见的情况下生长至 20 厘米。我们报告了一例 22 岁的初产妇,在妊娠 3 期时,右侧外阴出现直径 15 厘米的带蒂肿块,自发性出血。讨论了该病例的特点及其影响,特别是关于分娩决策的问题。由于肿块体积大且有出血倾向,我们决定行择期剖宫产术,并切除肿块。