Traumatic vulvar hematomas

Abstract

Management of the vast majority of vulvar hematomas is conservative. Most resolve spontaneously when simple measures are taken. Serial examinations are necessary to distinguish uncomplicated hematomas from those requiring surgery. The clinician must also be vigilant for the possibility of sexual abuse and respond with appropriate workup and referral if this situation is suspected.

Non-Obstetric Traumatic Vulvar Hematoma Managed in a Low-Resource Setting: A Case Report of a Rare Condition

“…Due to the abundant blood supply and the lack of valves in the perineal veins, the likelihood of significant hematomas is high. In severe cases, there is a potential risk of perforation into critical areas such as the peritoneal cavity, intestines, and bladder, which can pose life-threatening consequences [ 5 ].…”

Internal iliac artery balloon occlusion as a hemostatic method for spontaneous rupture of vulvar hematoma during delivery: A case report

“…Most vulvar hematomas reportedly result from traumatic injury including straddle injuries, sexual assault, or aggressive coitus in non-pregnant women. 1,2 However, spontaneous rupture of a vulvar hematoma during vaginal birth is a relatively uncommon event. One case report described a large vulvar hematoma that ruptured during the second stage of labor, and the authors emphasized that hemostasis should be achieved rapidly with adequate drainage, suturing, and packing.…”