The Vulva: An Uncommon Presentation of a Pressure Ulcer

Pressure ulcers may develop in different locations. Vulvar pressure ulcers can be easily misdiagnosed and, moreover, have been rarely reported in the literature. Surgical procedures that involve prolonged pressure on this area may trigger these lesions.

The authors present a case of a vulvar pressure ulcer secondary to the use of a perineal post to provide countertraction during surgical repair of a hip fracture. Diagnosis was made after excluding other possible causes with anatomopathological and microbiological analysis. Wound care was based on relieving local pressure.

Faced with the acute development of ulcers in the external genitals of women after this kind of surgical procedure, even with the use of padded posts, diagnosis of a pressure ulcer should be considered after excluding other possible causes.