Vulvar varicose veins (VVs) are seen in 4% of women, most of them secondary to pregnancy and usually regressing spontaneously.The treatment of choice during pregnancy is conservative and symptomatic.Management of vulvar varicosities in non-pregnant women consists of various techniques, including phlebectomy, endovascular embolization or surgical ligation of Ski de fond - Accessoires - Sac a ski contributing veins, sclerotherapy and, recently, conservative treatment with the venoactive agent MPFF (micronized purified flavonoid fraction).
We report an unusual case of Hotplate Receptacle a large hematoma of the right labium majus following bilateral vulvar phlebectomy and embolization of the left ovarian vein.The patient was a non-pregnant woman, who underwent incision and drainage of this rare complication.At follow-up almost a year after this procedure the patient reported comfort and cosmetic satisfaction regarding her vulvar symptoms.
A multidisciplinary team approach to vulvar varicosities is important, with the involvement of gynecologists, angiologists, interventional radiologists and vascular surgeons.