Severe traumatic vulva hematoma in teenage girl

Ernest, Alex; Knapp, Gregory C

doi:10.1002/ccr3.395

Cited by 15 publications

(25 citation statements)

References 13 publications

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“…3 Clinical picture was classical: painful, tense and bulging hematoma of the vulva with dehiscence; signs of hypovolemic shock were absent. 1 The causal mechanism in our case was similar to those commonly reported: soft tissues were crushed on the bony pelvis. 1,5 The fall (in squatting position) on the luggage carrier could have been less severe if the motorbike had crossed the speed bump slowly.…”

Section: Discussionsupporting

confidence: 84%

“…1 The causal mechanism in our case was similar to those commonly reported: soft tissues were crushed on the bony pelvis. 1,5 The fall (in squatting position) on the luggage carrier could have been less severe if the motorbike had crossed the speed bump slowly. Excessive speed is a commonly reported cause of road traffic accidents in Cameroon.…”

Section: Discussionsupporting

confidence: 84%

“…When hemostasis is not surgically possible, arterial embolization is recommended. 1 Unfortunately, this technique is currently not readily available in rich settings and absent in low-income countries like ours. Early referral for surgical exploration contributed to the overall good outcome of our case; this corroborates findings by Kanai et al 7…”

Section: Discussionmentioning

confidence: 95%

“…Vulvar hematomas are very rare and most of them are seen in obstetrics. 1 Very few cases have been reported in Cameroon and none in the west region of the country (to the best of our knowledge). [2][3][4] Non-obstetric vulvar hematomas (NVHs) are usually caused by direct trauma to the vulva during consensual or forceful sex/coitus and falls in squatting position.…”

Section: Introductionmentioning

confidence: 95%

“…[2][3][4] Non-obstetric vulvar hematomas (NVHs) are usually caused by direct trauma to the vulva during consensual or forceful sex/coitus and falls in squatting position. 1,5 The loose connective tissue of the vulva is prone to accumulation of blood and expansion of the hematoma. 5 There are neither guidelines nor consensus statements on best practices for the management of NVHs.…”

Section: Introductionmentioning

confidence: 99%

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A freaky motorbike accident causing vulvar hematoma: a case report at the Bafoussam Regional Hospital, West-Cameroon

Fouogue¹,

Fetse²,

Kenfack³

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Non-obstetric vulvar hematomas are rare and have never been reported in West Cameroon. No guidelines are available to inform the management of cases. Authors herein report the successful management of a post-traumatic vulvar hematoma in a 17 years old gravida 1 para 1001 patient. She was referred to our emergency department ten hours after a fall in a squatting position during a road traffic accident. Prior to the referral she had been managed conservatively by analgesics and a compressive dressing of the vulva in a community clinic. Clinical assessment on admission revealed a good general condition, normal vital signs and a tense and painful hematoma of the right labia. Surgery was done under general anesthesia to drain the hematoma, ligate the bleeding vessels and repair the vulva. Post-operative course was uneventful and the patient was discharge six days later. This case reminds practitioners in remote health facilities that early referral of this rare pathology contributes to its successful surgical management in our semi-urban region.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A freaky motorbike accident causing vulvar hematoma: a case report at the Bafoussam Regional Hospital, West-Cameroon

Fouogue¹,

Fetse²,

Kenfack³

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Analysis of non-obstetric vaginal and vulvar trauma: risk factors for operative intervention

et al. 2019

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Vaginal and vulvar trauma may occur accidentally or because of an act of violence. Due to its rarity, little is known about risk factors effecting need for operative intervention. We sought to perform a large descriptive analysis of adult non-obstetric vulvovaginal trauma (VVT) and elucidate risk factors for requiring operative intervention. A retrospective analysis of the National Trauma Data Bank was performed between 2007 and 2015. Patients ≥ 16 years old with vaginal or vulvar trauma were identified. Risk factors for surgical intervention were identified using a multivariable logistic regression analysis. From 2,040,235 female patients, 2445 (< 0.2%) were identified to have VVT with the majority being injury to the vagina (68.6%). In patients with injury to the vagina, age > 65 (OR = 0.41, CI 0.26-0.62, p < 0.001), Injury Severity Score > 25 (OR = 0.66, CI 0.50-0.86, p = 0.01) and victims of rape (OR = 0.39, 95% CI 0.26-0.57, p < 0.001) were less likely to require operative intervention. In patients with injury to the vulva, age > 65 (OR = 0.45, CI 0.21-0.94, p = 0.02), victims of rape (OR = 0.26, CI 0.08-0.87, p = 0.01) and gunshot violence (OR = 0.10, CI 0.02-0.59, p = 0.02) were less likely to require operative intervention, but those with a concomitant injury to the vagina were more likely to require operative intervention (OR = 2.56, CI 1.63-4.03, p < 0.001). Injuries to the vagina or vulva occur in < 0.2% of traumas. Interestingly, in both vulvar and vaginal trauma, older age, and involvement in rape were associated with lower risk for operative intervention. A combined injury to the vagina and vulva increases the need for operative intervention.

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Internal pudendal artery embolization for management of a traumatic labial hematoma

et al. 2022

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Severe traumatic vulva hematoma in teenage girl

Cited by 15 publications

References 13 publications

A freaky motorbike accident causing vulvar hematoma: a case report at the Bafoussam Regional Hospital, West-Cameroon

A freaky motorbike accident causing vulvar hematoma: a case report at the Bafoussam Regional Hospital, West-Cameroon

Analysis of non-obstetric vaginal and vulvar trauma: risk factors for operative intervention

Internal pudendal artery embolization for management of a traumatic labial hematoma

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