Massive Condyloma Acuminata on a 20-week Pregnant Primigravida

Abstract

BACKGROUND OF THE STUDY: Condyloma acuminata, a sexual infectious disease caused by Human Papilloma Virus (HPV) or Chlamydia trachomatis is more commonly in pregnant women  and severe than in non-pregnant women. Pregnant women are susceptibility to infection due to the immunologic suppression and continues according to gestational age. AIM OF THE STUDY: Delivering a case report about a primigravida diagnosed with massive condyloma acuminata. METHODOLOGY: A 27-year old primigravida, 20 weeks gestation age with clinical manifestation of massive condyloma acuminata. In speculo, cauliflower-like masses in vaginal into cervix , intact, livide and grandson cervix, a lot of  vaginal discharge/flour albus from ostium uteri externum.  Vaginal swab and serology test for  Chlamydia was conducted.  RESULTS: The patient was  treated by cauterization and clinical manifestations after cauterization was observed until delivered. Termination at 37 weeks  gestation age , aterm , estimated fetal weight > 2500 grams by cesarean section. Improvement of healing process without  new tissue pasca cauterization. CONCLUSION: The cauterization conducted on a 27-year old primigravida, 20 weeks gestation age with a massive condyloma acuminata showed a clinical recovery result and finally the pregnancy was terminate by cesarean section at the 37 weeks and  > 2500 grams fetus weight safely.