A case of vulvar hematoma with rupture of pseudoaneurysm of pudendal artery
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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. We provide a literature review and discuss patient treatment and management strategies.
Abstract
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. We provide a literature review and discuss patient treatment and management strategies.
참고문헌 (10)
- Palacios Jaraquemada JM, "Lower uterine blood supply: extrauterine anastomotic system and its application in surgical devascularization techniques", Acta Obstet Gynecol Scand, 86, pp.228~234 (2007)
- Villella J, "Postpartum angiographic embolization for vulvovaginal hematoma: a report of two cases", J Reprod Med, 46, pp.65~67 (2001)
- Rabinerson D, "Vulvar hematoma after cunnilingus in a teenager with essential thrombocythemia: a case report", J Reprod Med, 52, pp.458~459 (2007)
- Jones IS, "O’Connor A. Non-obstetric vulval trauma", Emerg Med Australas, 25, pp.36~39 (2013)
- Egan E, "Vulvar hematoma secondary to spontaneous rupture of the internal iliac artery: clinical review", Am J Obstet Gynecol, 200, pp.e17~e18 (2009)
- Sherer DM, "Transperineal sonography of a large vulvar hematoma following blunt perineal trauma", J Clin Ultrasound, 34, pp.309~312 (2006)
- Butori N, "Pseudoaneurysm of the uterine artery after cesarean delivery: management with superselective arterial embolization", Obstet Gynecol, 113, pp.540~543 (2009)
- Guerriero S, "Puerperal vulvovaginal hematoma: sonographic findings with MRI correlation", J Clin Ultrasound, 32, pp.415~418 (2004)
- Brown BJ, "Uncontrollable postpartum bleeding: a new approach to hemostasis through angiographic arterial embolization", Obstet Gynecol, 54, pp.361~365 (1979)
- Dehaeck CM, "Transcatheter embolization of pelvic vessels to stop intractable hemorrhage", Gynecol Oncol, 24, pp.9~16 (1986)