REVMEDUAS
REVMEDUAS; Vol. 16 No. 2 Abril-Junio 2026
ISSN 3122-4342

Edema vulvar gestacional idiopático sin factores de riesgo que remite después del evento obstétrico: reporte de caso en el Hospital de la Mujer, Culiacán, Sinaloa

Idiopathic gestational vulvar edema without risk factors that remits after the obstetric event: case report at the Hospital de la Mujer Culiacán Sinaloa

Carlos Uriel Reyes-Reyes1*, Alberto Moreno-González1, Carlos Ernesto Mora-Palazuelos3, Carlos Mario Vega-González1, Sergio Esteban Beltrán-Urías1, Paul González-Quintero2, Elvis Hernández-Loc2

  1. Servicio de Ginecología y Obstetricia, Hospital de la Mujer, Culiacán, Sinaloa, México.
  2. Médico Especialista Adscrito al Servicio de Ginecología y Obstetricia, Hospital de la Mujer, Culiacán, Sinaloa, México.
  3. Unidad de Investigación, Centro de Investigación y Docencia en Ciencias de la Salud. Universidad Autónoma de Sinaloa, México

*Autor de correspondencia: Carlos Uriel Reyes Reyes
Miguel Tamayo Espinoza de los Monteros s/n, Desarrollo Urbano Tres Ríos, 80020 Culiacán Rosales, Sinaloa, México.
Email: urielreyes_30@hotmail.com ORCID: 0009-0001-2012-8840

DOI http://dx.doi.org/10.28960/revmeduas.3122-4342.v16.n2.006

Texto Completo PDF

Recibido 18 de enero 2026, aceptado 25 de abril 2026

RESUMEN
Se presenta el caso clínico de edema vulvar gestacional idiopático, en una embarazada de 35.1 semanas de gestación (SDG), sin factores de riesgo, quien acude al servicio de tococirugía por referir dolor y edema en zona vulvar de predominio izquierdo de 10 días de evolución, sin causa aparente y de inicio espontáneo y gradual, tratada a su ingreso como bartholinitis por tumoración vulvar a nivel de la horquilla acompañada de dolor que aumenta al caminar, la cual no responde a la antibioticoterapia, exacerbándose el cuadro hasta alcanzar el edema ambos labios mayores y región inguinal izquierda con aumento en el conteo de glóbulos blancos, leucocitos 16.0x103/UL, y alteración de los reactantes de fase aguda, proteína C reactiva (PCR) 26.28 mg/dL velocidad de sedimentación globular (VSG) 41 mm/h. A quién se le descarta síndrome nefrótico durante su estancia. Se decide iniciar albúmina 12.5 gr IV cada 8 hrs y diurético de asa a base de furosemida 10 mg IV cada 8 hrs durante 24 hrs para favorecer la disminución del edema vulvar, medios físicos y anticoagulación con enoxaparina 40 mg subcutánea cada 24 hrs por 9 días, por el estado de postración de la paciente en cama, para posteriormente finalizar la gestación del embarazo vía abdominal a las 38 SDG, obteniendo un producto masculino sano, y resolución espontánea del edema vulvar posterior al evento obstétrico.
Palabras clave: Edema masivo, embarazo, edema vulvar durante el embarazo.

ABSTRACT
We present a clinical case of idiopathic gestational vulvar edema in a pregnant woman at 35.1 weeks’ gestation (WG), with no risk factors, who presented to the obstetric surgery clinic complaining of pain and edema in the vulvar region predominantly on the left side that had been present for 10 days, with no apparent cause and a spontaneous, gradual onset. Upon admission, she was diagnosed with Bartholinitis due to a vulvar mass at the perineal cleft accompanied by pain that worsened with walking; this condition did not respond to antibiotic therapy, and the symptoms worsened until edema affected both labia majora and the left inguinal region, with an increased white blood cell count, leukocytes 16.0 × 10³/μL, and abnormalities in acute phase reactants: C-reactive protein (CRP) 26.28 mg/dL, erythrocyte sedimentation rate (ESR) 41 mm/h. Nephrotic syndrome was ruled out during her hospital stay. It was decided to initiate 12.5 g of albumin IV every 8 hours and a furosemide-based loop diuretic at 10 mg IV every 8 hours for 24 hours to promote the reduction of vulvar edema, along with physical measures and anticoagulation with enoxaparin 40 mg subcutaneously every 24 hours for 9 days, due to the patient’s bedridden state, followed by termination of the pregnancy via cesarean section at 38 weeks’ gestation, resulting in the delivery of a healthy male infant and spontaneous resolution of the vulvar edema following the obstetric procedure.
Keywords: Massive edema, pregnancy, vulvar edema during pregnancy.

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