Unilateral Labial Edema in a Female Adolescent: A Gynecologic Presentation of Rhabdomyolysis

Rhabdomyolysis can be the result of vigorous physical activity. Typical signs and symptoms at presentation are muscle pain, weakness, or dark colored urine. There is no scientific literature associating rhabdomyolysis with gynecologic signs and symptoms. We present a case of a 16-year-old girl who p...

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Bibliographic Details
Published in:Journal of pediatric & adolescent gynecology 2018-12, Vol.31 (6), p.644-647
Main Authors: Khamsi, Naima, Mendez, Melissa D., Rojas-Mendez, Patricia, Sanchez, Sheralyn, Reddy, Sireesha
Format: Article
Language:English
Subjects:
Adolescent
Edema - etiology
Edema - pathology
Exertional rhabdomyolysis
Female
Genital Diseases, Female - etiology
Genital Diseases, Female - pathology
Humans
Labial swelling
Physical Exertion
Rhabdomyolysis - etiology
Rhabdomyolysis - pathology
Vulvar Edema
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Summary:Rhabdomyolysis can be the result of vigorous physical activity. Typical signs and symptoms at presentation are muscle pain, weakness, or dark colored urine. There is no scientific literature associating rhabdomyolysis with gynecologic signs and symptoms. We present a case of a 16-year-old girl who presented to our pediatric emergency department with complaints of progressive left vulvar swelling. The patient underwent magnetic resonance imaging, which showed polymyositis in the rectus abdominus, external and internal obliques, and bilateral vastus lateralis muscles. Laboratory evaluation showed elevated liver transaminases, creatine kinase, and myoglobin serum levels. Exertional rhabdomyolysis is associated with muscular damage after vigorous exercise. This case is an example of a patient with rhabdomyolysis presenting with an unusual external gynecological manifestation, as unilateral labial edema.
ISSN:1083-3188
1873-4332
DOI:10.1016/j.jpag.2018.07.002