Pregnancy-Associated Vulval Lymphangiectasia With a Non-Vesicular Wart-Like Appearance

Abstract

Vulval lymphangiectasia is a rare benign lymphatic disorder characterized by dilatation of superficial lymphatic vessels of the vulva. Although classically described as clusters of translucent vesicles with a “frogspawn” appearance, it may also present as non-vesicular, skin-colored, or wart-like lesions that can mimic condyloma acuminata and other vulval disorders. Recognition of this morphological spectrum is particularly important during pregnancy, when diagnostic uncertainty may affect counselling and delivery planning. We report a 37-year-old woman with recurrent pregnancy-associated, non-vesicular, wart-like vulval lymphangiectasia that developed during late pregnancy, was confirmed histopathologically, and regressed spontaneously after vaginal delivery. This case reinforces the recognized morphological spectrum of pregnancy-associated vulval lymphangiectasia and highlights the importance of considering this diagnosis when non-vesicular vulval lesions arise during pregnancy.