A rare case of giant condyloma acuminata during pregnancy
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20222333Keywords:
Condyloma acuminata, HPV, Podophyllum resin, Warts in pregnancyAbstract
Genital warts (Condyloma acuminata) are a benign lesion caused by human papillomavirus (HPV) type-6 or type-11 and are usually transmitted sexually. During pregnancy, condyloma has a tendency to proliferate and may have recurrence. We have a case of G2P1L1 38 weeks previously normal vaginal delivered patient in our hospital with extensive genital warts. Patient was successfully managed by surgical excision and after that in follow up after 2 months for podophyllin resin application on remaining lesions. HPV infection presentation can range from asymptomatic to cervical cancer. Small genital wart lesion may become extensive and cumbersome during pregnancy and again regress after delivery in due course of time. HPV vaccination, sex education and early treatment of condyloma lesions should prevent and, in any case, improve the prognosis of this disease.
References
Cohen E, Levy A, Holcberg G, Wiznitzer A, Mazor M, Sheiner E. Perinatal outcomes in condyloma acuminata pregnancies. Arch Gynecol Obstet. 2011;283(6):1269-73.
Yavuzcan A, Çag˘ lar M, Turan H, Tekin A, Topuz S, Yavuzcan G et al. The treatment of giant periurethral condyloma in pregnancy using ultrasonic thermal scalpel: A case report and a new single session treatment option. Case Rep Obstetr Gynaecol. 2015;2015:792412.
Devi LT, Pathania K. Pregnancy with HPV associated Viral Warts. Med J Armed Forces Ind. 2011;65(3):272-3.
Song G, Zhou X, Wu Y. A pregnant woman with condyloma acuminatum on the vaginal orifice, areola, groin, and umbilicus. Ind J Pathol Microbiol. 2019;62(2):310-12.
Workowski KA Bolan GA. Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015;64(RR-03):1-137.
Yang LJ, Zhu DN, Dang YL, Zhao X. Treatment of condyloma acuminata in pregnant women with cryotherapy combined with proanthocyanidins: Outcome and safety. Exp Ther Med. 2016;11(6):2391-4
Jach R, Galarowicz B, Huras H, Pawlik D, Basta T, Streb J et al. Vertical transmission of HPV in pregnancy. A prospective clinical study of HPV-positive pregnant women. Ginekol Pol. 2014;85(9):672-6.
Reeves WC, Ruparelia SS, Swanson KI. National registry for juvenile-onset recurrent respiratory papillomatosis. Arch Otolaryngol Head Neck Surg. 2003;129:976-82.
Baggish MS. Carbon dioxide laser treatment for condylomataacuminata venereal infections. Obstet Gynecol. 1980;55:711-5.
Nigam A, Mishra A. Condyloma acuminatum: atypical presentation during pregnancy. Int J STD AIDS. 2011;22(9):534-5.
