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Varicose Veins I: Introduction01:26

Varicose Veins I: Introduction

Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
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Vulvar varicosities mimicking a hernia: case report.

Bina Cohen-Sacher1, Mitchell B Berger, Dee E Fenner

  • 1Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva, Israel. bina.cohensacher@gmail.com

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Summary

Symptomatic vulvar masses in nonpregnant women can be caused by large vulvar varicosities. These intermittent masses, often presenting as a bulge or pain, may be mistaken for hernias but are actually varicose veins.

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Area of Science:

  • Gynecology
  • Vascular Surgery
  • Diagnostic Imaging

Background:

  • Vulvar varicosities are common during pregnancy.
  • Symptomatic vulvar varicosities are rarely reported in nonpregnant women.

Observation:

  • Two nonpregnant women presented with intermittent vulvar masses.
  • Masses were more prominent after exercise or increased intra-abdominal pressure.
  • Symptoms included a vulvar bulge and moderate pain.

Findings:

  • Imaging studies were inconclusive in determining the nature of the masses.
  • Surgical exploration revealed large vulvar varicosities as the cause of the masses.

Implications:

  • Vulvar masses can have diverse etiologies including hernias, tumors, cysts, and varicose veins.
  • Intermittent vulvar masses may indicate underlying varicose veins, not just hernias.
  • Awareness of vulvar varicosities is crucial for accurate diagnosis and management in nonpregnant women.