Journal of Pediatric and Adolescent Gynecology
Volume 19, Issue 2 , Pages 105-107, April 2006

Labial Edema Following Treatment of Condyloma Acuminata with CO2 Laser in an Adolescent: A Case Report and Literature Review

  • Hanoch Levavi, MD

      Affiliations

    • Corresponding Author InformationAddress correspondence to: H. Levavi, MD, Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Rabin Medical Center, Beilinson Campus, Petah Tiqwa, 49100, Israel
    • ,
  • Yael Perez-Davidi, MD
    • ,
  • Gad Sabah, MD

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Rabin Medical Center, Beilinson Campus, Petah Tiqwa; affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Abstract 

Purpose

To describe a case of bilateral labial edema in an adolescent patient and review the literature on this rare occurrence.

Material

A 16-year-old girl was treated for widespread genital condyloma acuminata with CO2 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.

Conclusion

This is the first description of severe bilateral labial edema after CO2 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.

Key Words: Vulvar edema, Genital condyloma acuminata, CO2 laser treatment

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PII: S1083-3188(06)00016-7

doi:10.1016/j.jpag.2006.01.049

Journal of Pediatric and Adolescent Gynecology
Volume 19, Issue 2 , Pages 105-107, April 2006

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