[
    {
        "id": "osp-2743",
        "type": "article-journal",
        "title": "Large Vulval Lesion During Pregnancy: A Diagnostic Challenge",
        "author": [
            {
                "family": "Prasad",
                "given": "Chandana"
            },
            {
                "family": "Davile",
                "given": "Medha"
            },
            {
                "family": "Gupta",
                "given": "Avantika"
            },
            {
                "family": "Mundle",
                "given": "Shuchita"
            }
        ],
        "URL": "https://omanscience.com/en/articles/large-vulval-lesion-during-pregnancy-a-diagnostic-challenge",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2024
                ]
            ]
        },
        "container-title": "Oman Medical Journal",
        "DOI": "10.5001/omj.2024.73",
        "publisher": "Oman Medical Specialty Board",
        "ISSN": "1999-768X",
        "abstract": "A 21-year-old primigravida at 27 weeks of pregnancy presented with complaints of spotting per vaginum and a vulval mass. She had noticed the growth in the perineal region over the past two months increasing in size. The patient reported good fetal movements and had no significant comorbidities. General and systemic examinations were unremarkable. On abdominal examination, the uterus height corresponded to the period of gestation, and fetal parts were palpable. Local examination of the vulva revealed a large cauliflower-like lesion containing multiple raised, skin-colored, fleshy papules measuring a few millimeters. The lesion involved both labia majora, the lower part of the anterior vaginal wall near the urethral orifice, and the vaginal orifice around the fourchette. The lesion exhibited superficial keratinization and some bleeding points. Secondary infection was noted with the formation of pus points. No other vaginal or cervical lesions were observed on per speculum examination."
    }
]