Non-obstetric vulva haematomas in a low resource setting: two case reports

Area of Science:

• Gynecology
• Emergency Medicine

Background:

• Vulva hematomas are uncommon, accounting for 0.8% of gynecological emergencies.
• Incidence is 3.7% outside the obstetric population.

Observation:

• Two cases presented: a 24-year-old with progressive labial swelling and a 17-year-old with spontaneous, rapidly increasing, tense, and tender labial swelling.
• The latter case involved spontaneous rupture with clot drainage.

Findings:

• Management options include conservative measures (analgesics, compression) and surgical intervention.
• Surgical management is indicated for hemodynamic instability, rapid hematoma expansion, and severe pain.

Implications:

• Prompt surgical intervention can reduce infection risk and hospital stay duration.
• Effective management is crucial, especially in resource-limited environments.
• Highlights the need for careful assessment and diagnosis of vulvar hematomas.