Clinical Case Database / Category: Patient Management
A complicated case of giant vulval condylomata in pregnancy
Dr Sandra McNeill, Dr John McManus, Dr Shaun McGowan
Foundation Years Journal, volume 8, issue 7, p.50 (123Doc Education, London, July 2014)
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.
Access the Clinical Cases Database
A subscription is required to read the full article. Please subscribe using one of the options below.
|Foundation Years Clinical Cases Database||£29.00||6 months|
|Foundation Years Clinical Cases Database||£39.00||12 months|
Dr Sandra McNeill
Consultant Obstetrician & Gynaecologist,
Altnagelvin Hospital, Glenshane Road, Londonderry, BT47 6SB
Dr John McManus
ST2 Trainee, Obstetrics & Gynaecology
Royal Jubilee Maternity Hospital, The Royal Hospitals
274 Grosvenor Road, Belfast, BT12 6BA
Dr Shaun McGowan (Corresponding author)
ST2 Trainee, Obstetrics & Gynaecology
Ulster Hospital Dundonald, Upper Newtownards Road, Dundonald, BT16 1RH
1. M.W Alder(1984) â€˜Genital warts and molluscum contagiosum.â€™ British Medical Journal, Volume 288, January, pp213-215.
2. S.A Gall. (2001) â€˜Female genital warts: global trends and treatments.â€™ 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. â€˜Management of External Genital and Perianal Warts (EGW): Proceedings of an Expert Panel Meeting.â€™ 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. â€œExternal Genital Warts: Diagnosis, Treatment, and Prevention.â€™ Clinical Infectious Diseases, 2002;35(Suppl 2):S210â€“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. â€˜2012 European guideline for the management of anogenital warts,â€™ Journal of the European Academy of Dermatology and Venereology, 2013, 27, e263â€“e270.
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.