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Vulvar Varicosities Mimicking a Hernia: Case Report

Cohen-Sacher, Bina MD1; Berger, Mitchell B. MD, PhD2; Fenner, Dee E. MD2; Burney, Richard E. MD3; Haefner, Hope K. MD2

Journal of Lower Genital Tract Disease: October 2012 - Volume 16 - Issue 4 - p 464–467
doi: 10.1097/LGT.0b013e3182454ed2
Case Reports

Objective Vulvar varicosities are not uncommon in pregnancy, but there are only a few published reports of symptomatic vulvar varicosities in nonpregnant women.

Case We report 2 cases of women presenting with symptomatic vulvar masses that were more prominent after exercise or with elevated intra-abdominal pressure. Symptoms included an intermittent vulvar bulge or mass and moderate pain when the masses were present. Imaging studies did not reveal the nature of these masses. On surgical exploration, they were found to be large vulvar varicosities.

Conclusions Vulvar masses can be caused by hernias, tumors, cysts, or other unusual entities. Differentiating among these etiologies can be a diagnostic challenge. Although most often a positional vulvar mass is a sign of hernia, it is important to be aware that masses that come and go can be caused by other entities, including large varicose veins.

Two cases of soft reducible vulvar masses caused by varicosities are reported.

1Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva, Israel; 2Department of Obstetrics and Gynecology, and 3Section of General Surgery, Department of Surgery, University of Michigan Health System, Ann Arbor, MI

Correspondence to: Bina Cohen-Sacher, MD, Department of OB-GYN, Helen Schneider Hospital for Women, Rabin Medical Center, Petah Tikva, Israel. E-mail:

The authors have no conflicts of interest.

©2012The American Society for Colposcopy and Cervical Pathology