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Published on: December 5, 2015
Spontaneous vulvar hematoma during pregnancy: a case report
Erin L Nelson1, Ashley N Parker, Donald J Dudley
1Department of Obstetrics and Gynecology, University of Texas Health Science Center at San Antonio, 78229-3900, USA. nelsone3@uthscsa.edu
Spontaneous vulvar hematoma, a rare condition, can cause significant swelling in pregnant women. Prompt diagnosis and treatment led to a full recovery and uncomplicated vaginal delivery.
Area of Science:
- Obstetrics
- Gynecologic Surgery
Background:
- Vulvar hematomas are uncommon, typically linked to trauma or childbirth complications.
- This case details a spontaneous vulvar hematoma in a non-traumatized, pregnant patient.
Observation:
- A 35-weeks-pregnant woman presented with rapid, unilateral vulvar edema without a history of injury.
- Physical examination and imaging confirmed a spontaneous 6-cm vulvar hematoma.
Findings:
- Surgical incision and drainage of the hematoma resolved the patient's edema.
- The patient experienced a normal pregnancy and an uncomplicated vaginal delivery four weeks post-intervention.
Implications:
- Highlights the possibility of spontaneous vulvar hematoma in pregnancy.
- Emphasizes the importance of prompt recognition and management for favorable maternal and fetal outcomes.
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