Vulvar arteriovenous hemangioma. A case report

Vulvar arteriovenous hemangioma is a rare pathologic lesion that can have a unique clinical presentation. One manifestation of this lesion has not previously been described in the literature.

A painful vulvar mass occurred in a healthy woman, with cyclic perineal discomfort and enlargement of the mass with menses. There was no obvious lesion on the skin. Excisional biopsy and groin exploration revealed a vascular lesion in the subcutaneous layer, consistent with arteriovenous hemangioma. The mass was successfully treated by excision, and the patient was asymptomatic 12 months later.

Surgical exploration should be considered when a definitive diagnosis of a symptomatic vulvar mass is uncertain. In this case, excision of the mass allowed diagnosis and definitive treatment.