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Revista Cubana de Obstetricia y Ginecología
On-line version ISSN 1561-3062
Abstract
SANCHEZ RAMIREZ, Niobys et al. Uncommon traumatic vulvar hematoma. Rev Cubana Obstet Ginecol [online]. 2018, vol.44, n.2, pp. 1-9. ISSN 1561-3062.
The vulvar hematoma is the collection of blood in the vulvar area. It is usually secondary to obstetric trauma, contusion injuries or consensual sexual relations. We present a 21-year-old patient who came to this health unit in January 2017, reporting that after a sexual intercourse, she began to present a progressive increase in vulvar volume, pain and difficulty in walking. The hematoma was incised and drained, hemostatic stitches were given, drainage was placed and ceftriaxone and metronidazole were the antimicrobial therapy of choice. The vulvar hematoma of this magnitude was a surgical emergency due to the compromised functionality of the genitourinary system. The drainage of the hematoma and the indication of antimicrobials allowed satisfactory evolution.
Keywords : vulvar hematoma; incision and drainage; antimicrobial.