Vaginal cavernous hemangioma in pregnancy

Background: Cavernous hemangioma of the vagina during pregnancy is extremely rare. No cases have been reported in the literature over the past 3 decades. Case: A 32-year-old multipara presented at 37 weeks' gestation with a history of a vaginal mass growing rapidly over a 24-hour period. The vaginal outlet was obstructed by an infected and necrotic mass that was excised surgically. The patient was placed on bed rest and tocolytic therapy. She delivered vaginally at 40 weeks' gestation without complications. Conclusion: Surgical management of a vascular vaginal tumor is possible in pregnancy. Excessive operative blood loss and consumptive coagulopathy are potential complications associated with cavernous hemangiomas.