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Emphysematous vaginitis in a gravid woman
  1. Harshita Reddy Bondugula1,
  2. Vinila Belum Reddy2,
  3. Samhitha Mallavalli1 and
  4. Manmohan Gavvala1
  1. 1Department of Dermatology, Venereology and Leprosy, Apollo Institute of Medical Sciences and Research, Hyderabad, Telangana, India
  2. 2Department of Pathology, Apollo Institute of Medical Sciences and Research, Hyderabad, Telangana, India
  1. Correspondence to Dr Harshita Reddy Bondugula; dr.harshita.reddy{at}


A primigravida in her late 20s presented to the obstetrics and gynaecology department in labour. On per speculum examination, multiple cystic lesions, 1–5 mm in size were observed occupying the anterior, posterior and lateral vaginal walls. Vaginal wet mount was normal and vaginal cultures were negative. Biopsy findings were consistent with emphysematous vaginitis. Vaginitis emphysematosa is a rare, benign self-limiting condition that presents with multiple, air-filled cysts in the vaginal or ectocervical mucosa. This condition is seen in both gravid and non gravid women, usually associated with a Trichomonas or Gardnerella infection.

  • Dermatology
  • Gas/Free Gas
  • Pregnancy
  • Pathology
  • Vulvovaginal disorders

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  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: HRB, VBR, SM and MG. The following authors gave final approval of the manuscript: HRB, VBR, SM and MG.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.