Surgical management and clinical follow-up of post-coital severe vulvar hematoma in a 14-year-old adolescent girl: A case presentation: Adolescent girl and vulvar hematoma

Ceren Golbasi; Hakan Golbasi; Burak Bayraktar; İbrahim Egemen  Ertas

doi:10.23750/abm.v92iS1.9135

Surgical management and clinical follow-up of post-coital severe vulvar hematoma in a 14-year-old adolescent girl: A case presentation

Adolescent girl and vulvar hematoma

Authors

Ceren Golbasi Department of Obstetrics and Gynecology, Izmir Tınaztepe University Faculty of Medicine Izmir, Turkey https://orcid.org/0000-0002-1844-1782
Hakan Golbasi Department of Obstetrics and Gynecology, University of Health Sciences Tepecik Training and Research Hospital Izmir, Turkey https://orcid.org/0000-0001-8682-5537
Burak Bayraktar Department of Obstetrics and Gynecology, University of Health Sciences Tepecik Training and Research Hospital Izmir, Turkey https://orcid.org/0000-0001-6233-4207
İbrahim Egemen Ertas Department of Obstetrics and Gynecology, University of Health Sciences Tepecik Training and Research Hospital Izmir, Turkey

DOI: https://doi.org/10.23750/abm.v92iS1.9135

Keywords:

adolescent, vulva, hematoma, trauma

Abstract

Background: Vulvar hematoma is often puerperal. A case of non-puerperal vulvovaginal hematoma is rare in the literature. There is no consensus on the management of vulvovaginal hematoma. In this study, we discussed the approach to a rare case of non-puerperal vulvar hematoma. Case: We present the case of a 14-year-old adolescent female with a severe vulvar non-obstetric hematoma that occurred after she had been illegally and voluntarily married. Conclusion: In conclusion; vulvar hematoma is the most common non-obstetric cause of perineal trauma and carries the risk of mortality by causing hypovolemic shock. The conservative approach is preferred for small and non-growing hematomas; however, surgical hematoma drainage is used for large and enlarging hematomas. Selective arterial embolization procedure is not common as the required equipment is not available in all healthcare facilities.

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