Vulval lymphangiectasia in pregnancy-a rare case report

Difficulty in arriving at a diagnosis of vulval lesions of women presenting in labor leads to a dilemma in deciding the delivery route. Here we present a case of large vulval lesion extending from mons pubis to anterior half of perineum presenting in labor in a 27-year-old second gravida with term pregnancy. History revealed an onset of vulval swelling within 3 months of starting antituberculosis treatment for cervical tuberculous lymphadenopathy at the age of 25 years. There was no associated inguinal lymphadenopathy or edema of the legs. Cesarean section was performed, anticipating difficulty in suturing the perineal tear with vaginal delivery. Biopsy revealed a diagnosis of vulval lymphangiectasia. Though various treatment modalities are available, complete resolution of the lesion remains a challenge. Awareness among healthcare workers and early diagnosis and intervention could avoid the extension of the lesion and its sequel in labor.