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Case Reports
. 2019 Aug 20:33:314.
doi: 10.11604/pamj.2019.33.314.19488. eCollection 2019.

Non-obstetric vulva haematomas in a low resource setting: two case reports

Ako Annabel Mangwi  1   2 , Peter Vanes Ebasone  2 , Desmond Aroke  3 , Larry Tangie Ngek  4 , Ako Simon Nji  1
Affiliations
Case Reports

Non-obstetric vulva haematomas in a low resource setting: two case reports

Ako Annabel Mangwi et al. Pan Afr Med J. .

Abstract

Vulva haematomas are uncommon outside the obstetric population, with an incidence of 3.7% and represent only 0.8% of all gynaecological emergencies. The first case is a 24-year-old G2P1011 referred after the failure of conservative management of a progressively increasing right labia majora swelling. Vulva incision, exploration and relieve of hematoma were done under local anaesthesia. The second case is a 17-year-old G1P1001, a student who presented with spontaneous pain and swelling of the left labia majora. The swelling was rapidly increasing, tense and tender. It spontaneously ruptured, clots were drained and the wound was packed. Vulva hematomas are not very common hence necessitating careful assessment, right diagnosis and management. Management could be conservative (analgesics, local compression) as well as surgical in cases of hemodynamic instability, rapidly increasing size of hematoma and pain intensity. Prompt surgical management reduces the risk of infection and longer hospital stays, which is important in low resource settings like ours.

Keywords: Cameroon; Non-obstetric haematomas; conservative management; surgical management; vulva haematoma.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
Right necrotic vulva hematoma
Figure 2
Figure 2
After resolution of Hematoma
Figure 3
Figure 3
Right vulvar haematoma
Figure 4
Figure 4
After resolution of hematoma
See this image and copyright information in PMC

References

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