Giant vulvar hematoma during pregnancy after sexual intercourse: A case report

Abstract

Abstract. Lower genital tract hematomas are rarely seen in clinical practice. Although one can frequently see vulvar hematomas when delivering a baby, there are few reports on vulvar hematomas in pregnant patients. Here the authors present a case on a giant vulvar hematoma in a pregnant patient that developed after usual sexual intercourse. Due to the enlarging hematoma and unbearable pain, an operation was offered to the patient. Under general anesthesia, a 5-cm vertical incision was made on the thinnest portion of the vaginal mucosa, and the hematoma was evacuated. As the case reported here is very uncommon, the usual recommendations about sexual intercourse during pregnancy should not change.

Key words: Pregnancy, sexual intercourse, vulvar hematoma

Keywords

• Pregnancy, sexual intercourse, vulvar hematoma

References

1. Sill PR. Non-obstetric female genital tract trauma in Port Moresby, Papua New Guinea. Aust N Z J Obstet Gynaecol 1987; 27: 164-165.
2. Ahmed E, Syed SA, Parveen N. Female consensual coital injuries. J Coll Physicians Surg Pak 2006; 16: 333-335.
3. Sau AK, Dhar KK, Dhall GI. Nonobstetric lower genital tract trauma. Aust N Z J Obstet Gynaecol 1993; 33: 433-435.
4. Molodkin BV. A case of large hematoma of the vulvar region in pregnancy. Akush Ginekol (Mosk) 1965; 41: 147-148.
5. Mulder PH. Fatal spontaneous hematoma of the vulva in a primipara at 36 weeks gestation before onset of labor. Henry Ford Hosp Med Bull 1957; 5: 250-255.
6. Kurdoglu M, Kurdoglu Z, Cim N, Yildiz M. One of the obstetrical emergencies, puerperal vulvar hematoma threatening maternal life. J Turk Soc Obstet Gynecol 2010; 7: 239-242.
7. Propst AM, Thorp JM Jr. Traumatic vulvar hematomas: conservative versus surgical management. South Med J 1998; 91: 144-146.