Postlaparoscopic vulvar edema, a rare complication.
Two cases of unilateral labial edema occurred after laparoscopic presacral neurectomy and were associated with massive chylous ascites. One woman was cured by a second laparoscopy to repair the chylous leakage. In the other, vulvar edema subsided in 2 days and chyloperitoneum subsided spontaneously in 3 weeks. The mechanism of postlaparoscopic vulvar edema is believed to be similar to that of Conn's postparacentesis labial edema, in which the unhealed puncture tract permits ascites to travel through and accumulate in the labia majora.
Yen
Chih-Feng
CF
Department of Obstetrics and Gynecology, Division of Gynecologic Endoscopic Surgery, Chang Gung Memorial Hospital, #5, Fu-Hsing Street. Kwei-Shan, Tao-Yuan, 333, Taiwan.
Wang
Chin-Jung
CJ
Lin
Shu-Ling
SL
Lee
Chyi-Long
CL
Soong
Yung-Kuei
YK
D000328:Adult; D004487:Edema / Q000209:etiology* / Q000503:physiopathology; D004715:Endometriosis / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D011183:Postoperative Complications; D035583:Rare Diseases; D012086:Reoperation; D018570:Risk Assessment; D016896:Treatment Outcome; D014845:Vulvar Diseases / Q000209:etiology* / Q000503:physiopathology