A freaky motorbike accident causing vulvar hematoma: a case report at the Bafoussam Regional Hospital, West-Cameroon

Authors

  • Jovanny Tsuala Fouogue Department of Obstetrics and Gynecology, Bafoussam Regional Hospital, Cameroon
  • Gerard Tama Fetse Director, Bafoussam Regional Hospital, Cameroon
  • Bruno Kenfack Department of Obstetrics and Gynaecology at the Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon
  • Jeanne Hortence Fouedjio Department of Obstetrics and Gynaecology at the Faculty of Medicine and Biomedical Sciences, University of Yaounde 1. Cameroon
  • Florent Ymele Foueifack Department of Obstetrics and Gynaecology, Yaounde Central Hospital, Cameroon
  • Grace Kembaou Nganwa Department of biological sciences at the Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala-Cameroon
  • Michel Noubom Department of Microbiology, Immunology and Haematology at the Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang-Cameroon
  • Georges Enow Orock Director of the Bafoussam Regional Hospital. Bafoussal – Cameroon
  • Zacharie Sando Department of Morphological Sciences at the Faculty of Medicine and Biomedical Sciences of the University of Yaounde 1. Yaounde - Cameroon
  • Jean Dupont Ngowa Kemfang Department of Obstetrics and Gynaecology at the Faculty of Medicine and Biomedical Sciences, University of Yaounde 1. Yaounde, Cameroon

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20200927

Keywords:

Accident, Cameroon, Hematoma, Mortobike, Trauma, Vulva

Abstract

Non-obstetric vulvar hematomas are rare and have never been reported in West Cameroon. No guidelines are available to inform the management of cases. Authors herein report the successful management of a post-traumatic vulvar hematoma in a 17 years old gravida 1 para 1001 patient. She was referred to our emergency department ten hours after a fall in a squatting position during a road traffic accident. Prior to the referral she had been managed conservatively by analgesics and a compressive dressing of the vulva in a community clinic. Clinical assessment on admission revealed a good general condition, normal vital signs and a tense and painful hematoma of the right labia. Surgery was done under general anesthesia to drain the hematoma, ligate the bleeding vessels and repair the vulva. Post-operative course was uneventful and the patient was discharge six days later. This case reminds practitioners in remote health facilities that early referral of this rare pathology contributes to its successful surgical management in our semi-urban region.

References

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Published

2020-02-27

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Section

Case Reports