Massive Vulvar Edema Complicating Severe Preeclampsia: A Case Report

Abstract Background: Massive vulvar edema is uncommon during pregnancy and is considered to be a dreadful complication of severe pre-eclampsia. It therefore requires special attention since it can be associated with materno-fetal morbidity and mortality. Case Presentation: We hereby report an uncommon case of 21-year-old patient gravida 1 para 1 who presented a huge vulvar edema secondary to a severe pre-eclampsia at 32 weeks’ gestation. Because of an uncontrolled blood pressure, persistent HELLP syndrome, deteriorated renal function and nonreassuring fetal status, a caesarean section was decided. The blood results have normalized within a week after delivery and the vulvar edema dissolved two weeks later Conclusion: Massive vulvar edema may be the reason for consultation and reveal severe preeclampsia. The treatment is mainly etiological and the evolution is often favorable. Keywords Pregnancy; Preeclampsia; Vulvar edema Abbreviations PE: Preeclampsia; HELLP Syndrome: Hemolysis Elevated Liver Enzymes and Low Platelets Syndrome; SBP: Systolic Blood Pressure; DBP: Diastolic Blood Pressure