Emphysematous vaginitis is a rare but benign condition that is self-limited.

The condition consists of multiple gas-filled cysts in the submucosa of the upper vagina and ectocervix. These can be seen on transvaginal echocardiography or biopsy.


The cysts often range from 1 to 5 mm in diameter.


Clinical features:

(1) vaginal discharge with or without blood

(2) vulvar pruritis

(3) crepitus on vaginal exam


It may be confused with other conditions such as cervical carcinoma. There is also a risk of overtreatment.

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