Clinical Case Database / Category: Patient Management
A complicated case of giant vulval condylomata in pregnancy
Publication details
Dr Sandra McNeill, Dr John McManus, Dr Shaun McGowan
Foundation Years Journal, volume 8, issue 7, p.50 (123Doc Education, London, July 2014)
Abstract
We present a case of massive condylomata in a pregnant patient complicated by brittle diabetes and mental health issues where a large exophytic mass covered the vulvae and precluded vaginal delivery. Surgical resection was performed following patient request and disclosure of suicidal ideation. The patient received a caesarean section at 36 weeks due to concern over potential perineal scaring and diabetic issues. There
was no evidence of recurrence.
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Authors
Dr Sandra McNeill
Consultant Obstetrician & Gynaecologist,
Altnagelvin Hospital, Glenshane Road, Londonderry, BT47 6SB
sandra.mcneill@westerntrust.hscni.net
Dr John McManus
ST2 Trainee, Obstetrics & Gynaecology
Royal Jubilee Maternity Hospital, The Royal Hospitals
274 Grosvenor Road, Belfast, BT12 6BA
jmcmanus01@googlemail.com
Dr Shaun McGowan (Corresponding author)
ST2 Trainee, Obstetrics & Gynaecology
Ulster Hospital Dundonald, Upper Newtownards Road, Dundonald, BT16 1RH
shaun.mcgowan@hscni.net
References
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2. S.A Gall. (2001) ‘Female genital warts: global trends and treatments.’ Infectious diseases in obstetrics and gynecology, Volume 9, pp149-154.
3. D Carusi, (June 2012), Treatment of vulvar and vaginal warts, UpToDate, www.uptodate.com/
contents/treatment-of-vulvar-and-vaginal-warts, accessed October 2012.
4. J. Thomas Cox, Warner Huh, E. J. Mayeaux, Jr, Michael Randell, Maida Taylor. ‘Management of External Genital and Perianal Warts (EGW): Proceedings of an Expert Panel Meeting.’ OBG Management/The Female Patient November 2011, Supplement.
5. D. J. Wiley, John Douglas, Karl Beutner, Tom Cox, Kenneth Fife, Anna-Barbara Moscicki, Lynne
Fukumoto. “External Genital Warts: Diagnosis, Treatment, and Prevention.’ Clinical Infectious Diseases, 2002;35(Suppl 2):S210–24.
6. Centers for disease control and prevention, (February 2012) Sexually transmitted treatment
guidelines, 2010: Genital Warts, CDC, http://www.cdc.gov/std/treatment/2010/genital-warts.htm , accessed February 2013.
7. C.J.N. Lacey, S.C. Woodhall, A. Wikstrom, J. Ross. ‘2012 European guideline for the management of anogenital warts,’ Journal of the European Academy of Dermatology and Venereology, 2013, 27, e263–e270.
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