2018, Number 2
<< Back Next >>
Revista Cubana de Obstetricia y Ginecología 2018; 44 (2)
Uncommon traumatic vulvar hematoma
Sánchez RN, Tamayo LT, Machín HO, Hinestroza IS, Payés EW, Conde ENB
Language: Spanish
References: 12
Page: 1-9
PDF size: 226.81 Kb.
ABSTRACT
The vulvar hematoma is the collection of blood in the vulvar area. It is usually secondary to obstetric trauma, contusion injuries or consensual sexual relations. We present a 21-year-old patient who came to this health unit in January 2017, reporting that after a sexual intercourse, she began to present a progressive increase in vulvar volume, pain and difficulty in walking. The hematoma was incised and drained, hemostatic stitches were given, drainage was placed and ceftriaxone and metronidazole were the antimicrobial therapy of choice. The vulvar hematoma of this magnitude was a surgical emergency due to the compromised functionality of the genitourinary system. The drainage of the hematoma and the indication of antimicrobials allowed satisfactory evolution.
REFERENCES
Ernest A, knapp G. Severe traumatic vulva hematoma in teenage girl: Case reports of Clinical Case Reports. 2015[citado 2018 junio 18];3(12):975-8. Disponible en: http://onlinelibrary.wiley.com/doi/10.1002/ccr3.395/pdf
Bustillo MC. Fuentes A D. Trauma obstétrico: Hematoma vulvar. Red Med Hondur. 2014[citado 2018 junio 18];82(3). Disponible en: http://www.bvs.hn/RMH/pdf/2014/pdf/Vol82-3-2014-9.pdf
Ngatia JW. Traumatic sex with vulval haematoma formation: case report and review of literatura. East and Central Africa Medical Journal. 2015[citado 2018 junio 18];2:104-5. Disponible en: http://www.ku.ac.ke/schools/medicine/images/stories/docs/Traumatic-sex-withvulval.pdf
Aditya V, Malik R. Traumatic vulvar hematoma at term pregnancy. Department of Obstetrics and Gynecology B. R. D. Medical College 2 Department of Obstetrics and Gynecology. Hospital Delhi, India. World J Med Surg Case Rep. 2013[citado 2018 mayo 18];2:74-8. Disponible en: www.npplweb.com/wjmscr/content/2/17
Choque AW, Céspedes JC. Hematoma vulvar Imágenes en Medicina Andrea W. 2015[citado 2018 julio 18];3(12):523. Disponible en: http://www.scielo.org.bo/pdf/rccm/v15n1/v15n1_a14.pdf
Akpa M, Oguntayo A. Vulvar hematoma. Department of Obstetrics and Gynaecology, ABU Teaching Hospital, Shika-Zaria, Nigeria. 2012[citado 2018 junio 18];2(1). Disponible en: http://www.archintsurg.org
Hernández-Tiria MC, Navarro-Devia A, Osorio-Ruiz AM. Vulvar and perineal injury secondary to complex pelvic and perineal trauma: case presentation and review of the literatura. Revista Colombiana de Obstetricia y Ginecología. 2015[citado 2018 junio 18];66(4):297-305. Disponible en: http://www.hvn.es/servicios_asistenciales/ginecologia_y_obstetricia/ficheros/urgencias _del_tracto_genital_inferior.pdf
Williams Obstetricia. Cunningham, Leveno, Bloom, Hauth, Rouse, Spong, 23° edición, editorial Mc Graw Hill, 2001. Págs. 783-84.
González-Merlo J, Lailla Vicens JM, Fabre González E. Obstetricia. 6° edición, Editorial Elsevier Masson, 2013. Págs. 682-83.
García-Alonso I. Contusiones. Inflamación y trauma. 2012[citado 2018 mayo 18];2:104-5. Disponible en: https://revista.fecolsog.org/index.php/rcog/article/view/295/294
Pérez Gómez E, Malde Conde J. Urgencias del tracto genital inferior. Servicio de Obstetricia y Ginecología. Hospital Universitario Virgen de las Nieves Granada. España. 2012[citado 2018 julio 18]:575-600. Disponible en: http://www.oc.lm.ehu.es/Fundamentos/patologia/Apoyo/Cap%205%20Contusiones.pdf
Egan E, Dundee P, Lawrentschuk N. Vulvar Hematoma Secondary to spontaneous rupture of the internal iliac artery: clinical review. Am J Obstet Gynecol. 2009[citado 2018 julio 18];200(1):e17-8.