In the case presented, the patient had progressively worsening lower extremity edema starting at 29 weeks' gestation which became severe, with involvement of her labia majora by term. Her history ...

When the essentially healthy pregnant woman presents with severe lower extremity and/or labial edema, the etiology should be explored by thorough history and physical examination (H&P).

The swelling is usually painless ... Testicular torsion usually presents with the sudden onset of severe scrotal pain, in contrast to AISE, which can be moderately painful but is often painless.