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Case Report
Left labial edema after kidney transplantation
1 Loma Linda University School of Medicine, Loma Linda, CA, USA
2 DO, MPH, FACOG, Assistant Professor, Department of Obstetrics and Gynecology, Loma Linda University Health, Loma Linda, CA, USA
Address correspondence to:
Andrea Salcedo
Loma Linda University Health, Loma Linda, CA,
USA
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Article ID: 100164Z08AM2023
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Maidan A, Salcedo A. Left labial edema after kidney transplantation. J Case Rep Images Obstet Gynecol 2023;9(2):47–50.ABSTRACT
Introduction: The differential diagnoses for labial edema are diverse. Labial edema after a kidney transplantation requires a thorough understanding of the various common and uncommon causes. Comprehensive history taking, physical examination, and awareness of anatomical knowledge will lead to proper diagnosis and treatment.
Case Report: We present the case of an 18-year-old female with a past medical history of end stage renal disease secondary to bilateral atrophic kidneys and grade 3 vesicoureteral reflux status post deceased donor kidney transplant. She presented to the emergency department on postoperative day 5 due to uncontrolled hypertension and significant left labia minora edema with extreme pain to palpation. Gynecology evaluation and consultation determined the lesion was not suspicious for infection, abscess, or hematoma, and supportive care and conservative measures were initiated. Computed tomography (CT) was performed to rule out other causes of the anasarca, and after conservative management and doses of furosemide on hospital days 3 and 4, the patient showed improvement of the labial edema and blood pressure.
Conclusion: A comprehensive differential diagnoses with reliance on anatomy and potential anomalies will lead clinicians and surgeons to properly treat potential postoperative complications. In this case, a thorough understanding of Mullerian anatomy and hemodynamic balance with implementation of conservative measures postoperatively resulted in resolution of the patient’s symptoms.
Keywords: Canal of Nuck, End stage renal disease, Kidney transplant, Labia edema, Mullerian anomaly
SUPPORTING INFORMATION
Author Contributions
Alexandra Maidan - Acquisition of data, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Andrea Salcedo - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Alexandra Maidan et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
