Snip Snip

Have you ever completed a vaginal laceration repair shortly after a successful delivery, wondered, "Why is there a bandaid on this patient's R buttock?", and removed the bandaid (which was starting to peel off anyway), only to find a growth that resembles a small penile glans?  The texture was a cross between a stale marshmellow and a lipoma.  The patient's PMD had been reluctant to remove the growth, fearing it might be highly vascularized.  I anesthetized the skin around the lesion with a field block of 1% lidocaine with epinephrine, stuck a needle in it, and when no giant geyser of blood erupted, performed an excisional biopsy and sent the odd growth to pathology for further evaluation.