A rare gynaecological emergency: non-obstetric vulvar hematoma

Abstract

Injuries of female genital tract accounts for 0.8% of gynecological admissions. Non obstetric vulvar hematoma typically results from blunt trauma to the genitalia. Although they are small and pose little threat but at times become large to cause hemodynamic instability. Herein, we report a case of 32-year-old woman with complaint of swelling and severe pain at vulva due to injury by a cow. Examination revealed a hematoma on left labia majora of size 10×8 cm. Incision and drainage of swelling done at left mucocutaneous junction. Blood clots of approximately 500 cc were removed Postoperative follow-up indicated significant symptomatic improvement and restoration of normal vulval anatomy. Timely intervention is important in vulvar hematomas. In case of minor injuries conservative approach may work but in large hematoma surgery is required to drain the hematoma.