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Case Reports
. 2014 Mar;57(2):168-71.
doi: 10.5468/ogs.2014.57.2.168. Epub 2014 Mar 15.

A case of vulvar hematoma with rupture of pseudoaneurysm of pudendal artery

Hye Ri Hong  1 , Kyu Ri Hwang  1 , Sung Ae Kim  1 , Jeong Eun Kwon  1 , Hye Won Jeon  1 , Ji Eun Choi  2 , Young Ho So  3
Affiliations
Case Reports

A case of vulvar hematoma with rupture of pseudoaneurysm of pudendal artery

Hye Ri Hong et al. Obstet Gynecol Sci. 2014 Mar.

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.

Keywords: Aneurysm, false; Hematoma; Vulvar.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Significantly distorted anatomy due to left vulvar hematoma (A). After resolution of hematoma (B).
Fig. 2
Fig. 2
Computed tomography shows the hematoma on left vulvar area (red arrow) (A). Angiography confirmed rupture of internal pudendal artery (B).
See this image and copyright information in PMC

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