Addis Nigat Amsalu, Yigzaw Getachew Shiferaw, Belay Sentaye Teka, Belay Yilkal Ademe, Shiferaw Ephrem Awoke, Alemu Hirut Tesfahun, Molla Yohannis Derbew
Department of Gynecology and Obstetrics, College of Medicine and Health Sciences, University of Gondar, 196 Gondar, Ethiopia.
Department of Surgery, College of Medicine and Health Sciences, University of Gondar, 196 Gondar, Ethiopia.
Case Rep Womens Health. 2024 Feb 22;41:e00588. doi: 10.1016/j.crwh.2024.e00588. eCollection 2024 Mar.
The patient, a 20-year-old nulligravida, presented with a progressive swelling on the right side of her vulva over the past three years. She also reported dull, aching pain, particularly during long walks. Upon examination, the patient appeared comfortable, and her vital signs were within normal limits. Genitourinary examination revealed a right vulvar mass, 12 cm by 7 cm, which was movable, soft in consistency, and non-tender. Subsequent inguinovulvar ultrasonography confirmed the presence of a compressible soft-tissue mass measuring 10 × 7 × 4 cm, consistent with a diagnosis of lipoma. Surgical excision resulted in a significant improvement in the patient's condition and she was discharged from hospital.
该患者为20岁未孕女性，在过去三年中右侧外阴出现进行性肿胀。她还自述有钝痛、隐痛，长时间行走时尤为明显。检查时，患者状态良好，生命体征正常。生殖泌尿系统检查发现右侧外阴有一肿物，大小为12厘米×7厘米，可活动，质地柔软，无压痛。随后的腹股沟外阴超声检查证实存在一个可压缩的软组织肿物，大小为10×7×4厘米，符合脂肪瘤诊断。手术切除后患者病情显著改善并出院。
