Labial edema following treatment of condyloma acuminata with CO(2) laser in an adolescent: a case report and literature review.
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.
Levavi
Hanoch
H
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Rabin Medical Center, Beilinson Campus, Petah Tiqwa, Israel. drlevavi@clalit.org.il
Perez-Davidi
Yael
Y
Sabah
Gad
G
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