Obstet Gynecol Sci.
2014 Mar;57(2):168-171.
A case of vulvar hematoma with rupture of pseudoaneurysm of pudendal artery
- Affiliations
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- 1Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea. orangemd@snu.ac.kr
- 2Department of Obstetrics and Gynecology, SMG-SNU Boramae Medical Center, Seoul, Korea.
- 3Department of Pediatrics, SMG-SNU Boramae Medical Center, Seoul, Korea.
- 4Department of Radiology, SMG-SNU Boramae Medical Center, Seoul, Korea.
Abstract
- Vulvar hematomas are uncommon outside of the obstetric population and may be the result of trauma to the perineum. Vulvar hematomas most often present with low abdominal pain and urologic and neurologic symptoms. The vulva has rich vascularization that is supplied by the pudendal artery, a branch of the anterior division of the internal iliac artery. We describe a rare case of a 15-cm-sized vulvar hematoma with the suggested rupture of a pseudoaneurysm of the left pudendal artery without trauma injury. A 14-year-old girl presented with sudden pain and swelling in her left labium and was successfully treated with selective arterial embolization and surgical evacuation. We provide a literature review and discuss patient treatment and management strategies.
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