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A non-obstetrical vulvar hematoma, often caused by sexual trauma, can present with significant swelling and pain. Surgical evacuation of the clot is an effective treatment, leading to a rapid recovery.

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Area of Science:

  • Gynecology
  • Emergency Medicine
  • Trauma Surgery

Background:

  • Vulvar hematoma is a collection of blood in the female external genitalia.
  • Most cases are linked to obstetrical complications, but non-obstetrical cases commonly result from trauma, frequently coitus.
  • This case highlights a non-obstetrical etiology of vulvar hematoma.

Purpose of the Study:

  • To present a case of vulvar hematoma secondary to sexual intercourse.
  • To discuss the diagnostic challenges and management of non-obstetrical vulvar hematoma.

Main Methods:

  • Case report of a 25-year-old woman presenting with vaginal pain and swelling post-intercourse.
  • Differential diagnosis included bleeding, abscess, and deep venous thrombosis.
  • Computed tomography confirmed a large blood collection; surgical evacuation of 150 cc of clot was performed.

Main Results:

  • The patient experienced significant swelling and tenderness of the labia majora and minora.
  • Imaging studies indicated the swelling was due to a hematoma.
  • Surgical evacuation resulted in an uneventful recovery, with discharge the following day.

Conclusions:

  • Non-obstetrical vulvar hematomas, particularly those related to coitus, require prompt diagnosis and management.
  • This case underscores the importance of considering trauma in the differential diagnosis of vulvar swelling.
  • Effective surgical intervention can lead to rapid patient recovery.