Giant vulvar acrochordon (skin tag) presenting in second trimester of pregnancy

Fibroepithelial polyps (FEPs), or skin tags or acrochordons, are benign, hormone-responsive lesions commonly found on mucosal and cutaneous surfaces of females of reproductive age. However, it is not very widely reported during pregnancy, with only four cases of vulvar FEP reported in the literature to date in pregnant females. Herein, we present a case of giant FEP of the vulva measuring 10 cm × 10 cm in the second trimester of pregnancy. The lesion was successfully excised without any complications, and histopathological examination confirmed its benign nature.