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Internal pudendal artery embolization for management of a traumatic labial hematoma
Christopher C Zarour1, Daniel Fuguet1, Kaitlin M Zaki-Metias2
1Department of Radiology, St. Joseph Mercy Oakland Hospital, Pontiac, MI, United States; Department of Radiology, St. Mary Mercy Livonia Hospital, Livonia, MI, United States.
Abstract:
Non-obstetric perineal injuries often occur as a result of blunt trauma from sport or vehicular accidents. Due to the rich vascular supply of the vulva, this region is susceptible to hematoma formation. Traumatic arterial injury usually involves emergency embolization, typically utilizing coils or microspheres. This case describes an incidence of the utilization of gelfoam for temporary embolization to prevent vulvar and labial necrosis in a patient with an actively expanding hematoma.
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