Surgical management and clinical follow-up of post-coital severe vulvar hematoma in a 14-year-old adolescent girl: A case presentation Adolescent girl and vulvar hematoma
Main Article Content
Keywords
adolescent, vulva, hematoma, trauma
Abstract
Background: Vulvar hematoma is often puerperal. A case of non-puerperal vulvovaginal hematoma is rare in the literature. There is no consensus on the management of vulvovaginal hematoma. In this study, we discussed the approach to a rare case of non-puerperal vulvar hematoma. Case: We present the case of a 14-year-old adolescent female with a severe vulvar non-obstetric hematoma that occurred after she had been illegally and voluntarily married. Conclusion: In conclusion; vulvar hematoma is the most common non-obstetric cause of perineal trauma and carries the risk of mortality by causing hypovolemic shock. The conservative approach is preferred for small and non-growing hematomas; however, surgical hematoma drainage is used for large and enlarging hematomas. Selective arterial embolization procedure is not common as the required equipment is not available in all healthcare facilities.
Downloads
References
2. Kunishima K, Takao H, Kato N, Inoh S, Ohtomo K. Transarterial embolization of a nonpuerperal traumatic vulvar hematoma. Radiat Med. 30 April 2008;26(3):168.
3. Kanai M, Osada R, Maruyama K, Masuzawa H, Shih H-C, Konishi and I. Warning from Nagano: Increase of Vulvar Hematoma and/or Lacerated Injury Caused by Snowboarding. J Trauma Acute Care Surg. February 2001;50(2):328-31.
4. Habek D, Kulaš T. Nonobstetrics vulvovaginal injuries: mechanism and outcome. Arch Gynecol Obstet. 01 February 2007;275(2):93-7.
5. Sau AK, Dhar KK, Dhall GI. Nonobstetrie Lower Genital Tract Trauma. Aust N Z J Obstet Gynaecol. 1993;33(4):433- 5.
6. Bechtel K, Santucci K, Walsh S. Hematoma of the Labia Majora in an Adolescent Girl. Pediatr Emerg Care. June
2007;23(6):407-8.
7. Dash S, Verghese J, Nizami DJ, Awasthi RT, Jaishi S, Sunil M. Severe haematoma of the vulva--a report of two cases and a clinical review. Kathmandu Univ Med J KUMJ. June 2006;4(2):228-31.
8. Egan E, Dundee P, Lawrentschuk N. Vulvar hematoma secondary to spontaneous rupture of the internal iliac
artery: clinical review. Am J Obstet Gynecol. 01 January 2009;200(1):e17-8.
9. Anderson JR, Genadry R. Anatomy and Embryology. Berek JS, editors. Berek & Novak’s Gynecology. 13th ed.
Philadelphia,PA: Lippincott Williams&Wilkins; 2002. p.69- 121.
10. Danso KA, Turpin CA. Vulvo-vaginal injuries: analysis of 170 cases at Komfo Anokye Teaching Hopital, Kumasi,
Ghana. Ghana Med J. 2004;38(3):116-9.
11. Rush R, Milton PJ. Injuries of the vagina. South Afr Med J Suid-Afr Tydskr Vir Geneeskd. 28 July 1973;47(29):1325- 6.
12. Fallat ME, Weaver JM, Hertweck SP, Miller FB. Late follow-up and functional outcome after traumatic reproductive tract injuries in women. Am Surg. September
1998;64(9):858-61.
13. Jeng C-J, Wang L-R. Vaginal Laceration and Hemorrhagic Shock during Consensual Sexual Intercourse. J Sex Marital Ther. 15 May 2007;33(3):249-53.
14. Sloin MM, Karimian M, Ilbeigi P. Nonobstetric Lacerations of the Vagina. J Am Osteopath Assoc. 01 May
2006;106(5):271-3.
15. Propst A, Thorp J. Traumatic Vulvar Hematomas: Conservative Versus Surgical Management. South Med J. February 1998;91(2):144-6.
16. Vermesh M, Deppe G, Zbella E. Non-puerperal traumatic vulvar hematoma. Int J Gynaecol Obstet Off Organ Int Fed Gynaecol Obstet. June 1984;22(3):217-9.
17. Benrubi G, Neuman C, Nuss R, Thompson R. Vulvar and Vaginal Hematomas: A Retrospective Study of Conservative Versus Operative Management. South Med J. August 1987;80(8):991-4.
18. Hong HR, Hwang KR, Kim SA, Kwon JE, Jeon HW, Choi JE, vd. A case of vulvar hematoma with rupture of pseudoaneurysm of pudendal artery. Obstet Gynecol Sci. 15 March 2014;57(2):168-71.
19. Heffner LJ, Mennuti MT, Rudoff JC, McLean GK. Primary management of postpartum vulvovaginal hematomas
by angiographic embolization. Am J Perinatol. July 1985;2(3):204-7.
20. Villella J, Garry D, Levine G, Glanz S, Figueroa R, Maulik D. Postpartum angiographic embolization for vulvovaginal hematoma. A report of two cases. J Reprod Med. January 2001;46(1):65-7.
21. Chen T-H, Chen C-H, Hong Y-C, Chen M. Puerperal Pelvic Hematoma Successfully Treated by Primary Transcatheter Arterial Embolization. Taiwan J Obstet Gynecol. 01 June 2009;48(2):200-2.
22. Lédée N, Ville Y, Musset D, Mercier F, Frydman R, Fernandez H. Management in intractable obstetric haemorrhage: an audit study on 61 cases. Eur J Obstet Gynecol Reprod Biol. 01 February 2001;94(2):189-96.
Article Sidebar
Article Details
How to Cite
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transfer of Copyright and Permission to Reproduce Parts of Published Papers.
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.