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Vulvar hematoma

Li Wan, Hongjing Wang, Ke Xu, Lingyun Yang
Spontaneous rupture of a vulvar hematoma during delivery is a relatively uncommon event and may cause excessive hemorrhage. Exact identification of anatomic structures and bleeding points is challenging. We herein present a case involving a pregnant woman at 39 weeks' gestation with a large vulvar hematoma that spontaneously ruptured during the second stage of labor, likely due to rupture of varices in the vulva or vagina. It was difficult to accurately expose and suture the deep bleeding points. The estimated blood loss volume was 1591 mL, and the hemoglobin concentration dropped from 132 g/L before delivery to 84 g/L after delivery...
January 1, 2018: Journal of International Medical Research
Novera G Chughtai, Raheela Mohsin Rizvi
The management of puerperal hematomas after normal delivery has always been challenging for obstetricians. Vulvar, vulvovaginal, or paravaginal hematomas are common. On the other hand, retroperitoneal hematomas are uncommon and can be life-threatening. The diagnosis of vascular injury is rarely made preoperatively as atonic or traumatic postpartum hemorrhage (PPH), uterine rupture and amniotic fluid embolism are more common differential diagnoses. Injury to internal pudendal and uterine vessels is extremely rare in cases of vaginal delivery and, therefore, the literature on this topic is very scarce...
March 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Kenjiro Takagi, Keiko Akashi, Isao Horiuchi, Eishin Nakamura, Koki Samejima, Junko Ushijima, Tomohisa Okochi, Kohei Hamamoto, Keisuke Tanno
OBJECTIVE: A puerperal vulvovaginal hematoma may continue to grow after a surgical procedure and may require blood transfusion. Thus, we selected arterial embolization for hemostasis as the first-line management in two cases of large vulvovaginal hematoma. MATERIALS AND METHODS: Case 1 was a 32-year-old pregnant woman. After delivery, a 10-cm vulvar hematoma developed. An enhanced computed tomography (CT) scan revealed active bleeding. Arterial embolization was performed and complete hemostasis was obtained...
April 2017: Taiwanese Journal of Obstetrics & Gynecology
Ran Ito, Jung-Ju Huang, Jerry Chih-Wei Wu, Miffy Chia-Yu Lin, Ming-Huei Cheng
BACKGROUND: The profunda feomris artery perforator (PAP) flap was recently revisited and gains popularity as an alternative method of autologous breast reconstruction. The purpose of this article is to demonstrate that PAP flap can be used reliably for reconstruction of various soft tissue defects. METHODS: A total of 55 free PAP flaps and 16 pedicle PAP flaps were transferred in 63 patients. Each case was reviewed to verify a PAP flap was performed identifying defect location, flap size, flap design, and postoperative complications...
August 2016: Journal of Surgical Oncology
Bharat Rekhi, Girish Chinnaswamy, Tushar Vora, Sneha Shah, Venkatesh Rangarajan
Primary vulvar Ewing sarcoma (ES)/PNET is an uncommonly documented tumor, especially with molecular results. A 10-year-old girl presented with left vulvar swelling, a year ago. Her abdominopelvic ultrasound revealed a 12 cm × 8 cm sized, mixed echogenic blood-filled lesion in the left vulva; radiologically considered as a hematoma. Vulvectomy revealed a multinodular grey-brown tumor, microscopically comprising malignant round cells. Immunohistochemically, tumor cells diffusely expressed MIC2/CD99 and Fli1 and subsequently displayed EWSR1 rearrangement, confirming diagnosis of ES/PNET...
July 2015: Indian Journal of Pathology & Microbiology
Adil Elghanmi, Hicham Seffar
No abstract text is available yet for this article.
2015: Pan African Medical Journal
Rachael T Overcash, Alicia T Somers, D Yvette LaCoursiere
OBJECTIVE: To compare the adequacy of venous thromboembolism prophylaxis based on anti-Xa concentrations between weight-based enoxaparin dosing and body mass index (BMI)-stratified dosing in morbidly obese women after cesarean delivery. METHODS: A prospective sequential cohort study of women with BMIs of 40 or greater who underwent cesarean delivery was conducted. Participants received either weight-based or BMI-stratified enoxaparin dosing to prevent venous thromboembolism formation...
June 2015: Obstetrics and Gynecology
H K Haefner, M D Pearlman, M L Barclay, S M Selvaggi
Numerous skin diseases occurring in the pregnant patient have been reported. Some of these diseases are unique to pregnancy and some, including vulvar varicosities, vulvar edema, postpartum labial adhesions, and hematomas, are a result of physiological changes of pregnancy or the birth process. In addition, a variety of viral and bacterial infectious diseases of the vulva may occur during pregnancy. Vulvar neoplasms may also be found in pregnancy. In two patients, ages 27 and 31, lichen sclerosus first was diagnosed during their initial prenatal visits...
October 1999: Journal of Lower Genital Tract Disease
Florent Ymele Fouelifack, Jovanny Tsuala Fouogue, Jeanne Hortence Fouedjio, Zacharie Sando, Robinson Enow Mbu
No abstract text is available yet for this article.
2014: Pan African Medical Journal
E Delmarre, C Delteil, S Mallet, C Boval, F Capasso, M-D Piercecchi-Marti
INTRODUCTION: With the frequency of lawsuits for sexual abuse increasing, high-quality care for victims is of utmost importance. Genital examination is difficult to perform, especially on children, but is a key item for diagnosis. A case report is presented herein to illustrate this issue. CASE PRESENTATION: A sexual assault was suspected on 2.5-year-old female twins. Clinical examination primarily detected vulvar micro-hematoma and hypopigmentation, discreetly sclerosing, as well as atrophic labia and a beginning of lichenification on one of them...
April 2015: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Su Lim Lee, Yeon Hee Kim, Hee Joong Lee
No abstract text is available yet for this article.
2015: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
Takuo Maruyama, Takayuki Matsui, Yasutsugu Kobayashi, Hideki Kuwae
A 94-year-old woman visited a local urological clinic in January 2011 complaining of dysuria and vulvar discomfort that lasted for a month. Clinical examination showed a hematoma-like tumor at the external urethral meatus. She refused an operation. After 2 months, the tumor became hemorrhagic and she was referred to our hospital for operation. A black tumor of fingertip-size was seen at the external urethral meatus. Urinary sediment examination and urine cytology revealed malignant melanoma cells. The tumor showed T1WI high intensity, and T2WI low intensity by magnetic resonance imaging...
November 2014: Hinyokika Kiyo. Acta Urologica Japonica
Holly R Hoefgen, Diane F Merritt
BACKGROUND: River tree rope swings are popular for recreation along inland lakes and rivers, but not without hazard. In a comprehensive review of injuries related to rope swings, genital injuries accounted for nearly 3 percent. CASE: We describe significant genital injuries, with laceration and avulsion of the labia and a large vulvar hematoma in 2 young women as a consequence of rope swing use. SUMMARY AND CONCLUSIONS: Visitors to inland waterways need to be cognizant of the hazards of rope swings and health care professionals should consider this mechanism of injury when confronted with vulvar trauma...
February 2015: Journal of Pediatric and Adolescent Gynecology
Angelica Naldini, Cristiano Rossitto, Andrea Morciano, Giovanni Panico, Giuseppe Campagna, Pierluigi Paparella, Giovanni Scambia
INTRODUCTION: The current management of vulvar cancer depends on the extension of disease, and includes primary tumor resection with safety margin as well as inguinofemoral lymph node staging. We report the case of the first leg videoendoscopic inguinal lymphadenectomy performed in a woman with a squamous cell vulvar carcinoma. PRESENTATION OF CASE: A 74 years old female referred to our institution complaining of vulvar mass associated with bleeding and swelling from external genitals, vaginal burning sensation and dysuria for 5 months...
2014: International Journal of Surgery Case Reports
Yulia Gurtovaya, Hanna Hanna, Abdul Wagley
No abstract text is available yet for this article.
2013: Midwives
Alexander J Hubb, Kristin L Orr, Colleen K Stockdale
BACKGROUND: Puerperal vulvar edema and hematoma are rare complications of the postpartum period. The two conditions have similar risk factors and are known to occur together. The outcome of vulvar edema or hematoma is typically favorable, as both reabsorb with local perfusion mechanisms. Management recommendations vary, with recommendations based on limited evidence and anecdotal experience. CASES: We report two cases, one of puerperal vulvar edema and one of puerperal vulvar hematoma, which became complicated by overuse of cold therapy during conservative management...
April 2015: Journal of Lower Genital Tract Disease
Phryné Coutant-Foulc, Fiona M Lewis, Sophie Berville, Bruno Janssen, Pascal Guihard, Jean Jacques Renaut, Francoise Plantier, Eduardo Calonje, Micheline Moyal-Barracco
OBJECTIVE: To define the clinical features, imaging results, histopathologic patterns, and clinical outcomes seen in patients who develop vulval swelling as a result of intensive cycling. METHODS: The case notes of 8 female cyclists were retrospectively reviewed. RESULTS: The mean age of the patients was 45 years, and all were cycling long distances each week (range, 125-450 km; median, 210 km). All patients had a unilateral swelling of the labium majus...
October 2014: Journal of Lower Genital Tract Disease
Lucky O Lawani, Okechukwu B Anozie, Paul O Ezeonu, Chukwuemeka A Iyoke
OBJECTIVE: To evaluate the incidence of, indications for, and outcome of operative vaginal deliveries compared with spontaneous vaginal deliveries in southeast Nigeria. METHODS: A retrospective cohort study was conducted involving cases of operative vaginal delivery performed at Ebonyi State University Teaching Hospital over a 10-year period. Data on the procedures were abstracted from the operation notes of the medical records of parturients. RESULTS: An incidence of 4...
June 2014: International Journal of Gynaecology and Obstetrics
Hye Ri Hong, Kyu Ri Hwang, Sung Ae Kim, Jeong Eun Kwon, Hye Won Jeon, Ji Eun Choi, Young Ho So
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...
March 2014: Obstetrics & Gynecology Science
Sanjoy Kumar Bhattacharyya, Shyama Prasad Saha, Gautam Mukherjee, Jaydeep Samanta
Metastatic choriocarcinoma may present solely as a vulvo-vaginal growth. It may pose initial diagnostic dilemmas and thus treatment delay. Two cases of metastatic choriocarcinoma which presented as vulvo-vaginal swelling are described here. Both the cases were initially misdiagnosed. Later, unresponsiveness to treatment alerted us to the possibility of metastatic choriocarcinoma. Combination chemotherapy was started following diagnosis by serum β-HCG titer. In spite of initial responsiveness in both cases, one could not be saved due to poor compliance...
2012: Journal of the Turkish German Gynecological Association
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