Background: Vulvar hematomas are uncommon. They may be the result of traumatic injury in nonpregnant women or present as an uncommon complication of childbirth. This article describes an unusual case of a spontaneous bilateral hematoma that presented with unexplained vulvar swelling in a 25-weeks' pregnant woman. Case: A multiparious, 32-year-old, pregnant woman presented with bilateral vulvar swelling and rapid onset of pain. Fifteen weeks prior, she had found a 3–4-cm cystic mass on the bilateral labia although she had no preceding traumatic event. Detailed physical and imaging evaluation suggested spontaneous vulvar hematomas. She was treated successfully with surgical evacuation of hematoma clots. Results: After this treatment, the patient went on to have an uneventful vaginal delivery at the 38th week of her pregnancy. Conclusions: An accurate recognition of spontaneous vulvar hematoma during pregnancy can enable complete recovery for a patient so she can continue a normal pregnancy with an uncomplicated spontaneous vaginal delivery. J GYNECOL SURG 31:101)
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References
1.
EganE, DundeeP, LawrentschukN. Vulvar hematoma secondary to spontaneous rupture of the internal iliac artery: Clinical review. Am J Obstet Gynecol, 2009; 200:e17.
HongH, HwangK, KimS, KwonJ, JeonH, ChoiJ, SoY. A case of vulvar hematoma with rupture of pseudoaneurysm of pudendal artery. Obstet Gynecol Sci, 2014; 57:168.
4.
JonesI, O'ConnorA. Non-obstetric vulval trauma. Emerg Med Aust, 2013; 25:36.
5.
Palacios JaraquemadaJ, García MónacoR, BarbosaN, FerleL, IriarteH, ConesaH. Lower uterine blood supply: Extrauterine anastomotic system and its application in surgical devascularization techniques. Acta Obstet Gynecol Scand, 2007; 86:228.
6.
PropstA, ThorpJJ. Traumatic vulvar hematomas: Conservative versus surgical management. South Med J, 1998; 91:144.
7.
NelsonE, ParkerA, DudleyD. Spontaneous vulvar hematoma during pregnancy: A case report. J Reprod Med, 2012; 57:74.
8.
RidgwayL. Puerperal emergency: Vaginal and vulvar hematomas. Obstet Gynecol Clin North Am, 1995; 22:275.
9.
DehaeckC. Transcatheter embolization of pelvic vessels to stop intractable hemorrhage. Gynecol Oncol, 1986; 24:9.
