title: Labial edema following treatment of condyloma acuminata with CO(2) laser in an adolescent: a case report and literature review.
abstract: OBJECTIVE
  To describe a case of bilateral labial edema in an adolescent patient and review the literature on this rare occurrence.
  
  
  METHODS
  A 16-year-old girl was treated for widespread genital condyloma acuminata with CO(2) laser under general anesthesia and local lidocaine injections. Severe bilateral labial edema occurred after 48 hours.
  
  
  RESULTS
  Lidocaine and Latex dermal patch tests for delayed hypersensitivity were negative. The edema resolved following treatment with local ice packs and magnesium sulfate compresses for 2 weeks.
  
  
  CONCLUSIONS
  This is the first description of severe bilateral labial edema after CO(2) laser treatment for condyloma acuminata. We suggest that transient local lymphatic obstruction was the reason for this complication. The literature on this rare occurrence is reviewed.
authors.affiliation: Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Rabin Medical Center, Beilinson Campus, Petah Tiqwa, Israel. drlevavi@clalit.org.il
authors.forename: Hanoch
authors.initials: H
authors.lastname: Levavi
authors.forename: Yael
authors.initials: Y
authors.lastname: Perez-Davidi
authors.forename: Gad
authors.initials: G
authors.lastname: Sabah
mesh_terms: D000293:Adolescent; D003218:Condylomata Acuminata / Q000601:surgery*; D004487:Edema / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D053685:Laser Therapy / Q000009:adverse effects*; D014845:Vulvar Diseases / Q000209:etiology* / Q000628:therapy