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June 12, 1967

Emphysematous Vaginitis

JAMA. 1967;200(11):1001-1002. doi:10.1001/jama.1967.03120240129038

To the Editor:—  Emphysematous vaginitis is a benign condition characterized by the presence of multiple gas-filled cysts in the vaginal and cervical mucosa. The condition is self-limited and associated with few symptoms. The roentgenographic appearance is usually distinctive, and the diagnosis is obvious if the physician is aware of the entity. With one exception,1 previous case reports, numbering about 160, have not emphasized the roentgenographic finding associated with emphysematous vaginitis. It is our purpose to illustrate the roentgenographic appearance of the disease with two case reports.

Case 1:—  The patient was a 35-year-old woman, gravida 2, para 1, abortions, none. She was hospitalized for spontaneous rupture of the membranes three weeks after the estimated delivery date. The diagnosis of emphysematous vaginitis had been made in the outpatient clinic during a routine pelvic examination done near term and was confirmed by the characteristic x-ray findings on films exposed for pelvimetry