![]() ![]() At 12 months postinjury, her only symptomatic scarring at the left vaginal wall continues to improve. At 6 months after the injury, the patient was allowed to engage in sexual activity, and vaginal dilation and pelvic floor therapy were initiated. The burn wounds were fully healed within 8 weeks without complication or additional treatment. Her burns were treated with topical estrogen cream of 1 g twice daily applied directly to the wounds. The authors present a unique case of a woman who inadvertently received undiluted acetic acid during a routine colposcopy, resulting in significant chemical burns of the vagina, cervix, and perineum. Acetic acid is a known caustic substance and has the potential to cause irritation and chemical burns when there is sufficient concentration or duration of contact. In colposcopic evaluation of the cervix, acetic acid of 3 to 5% is commonly used for identification of preneoplastic and neoplastic cells. ![]()
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