A case of vulvar hematoma with rupture of pseudoaneurysm of pudendal artery
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È«Çý¸®(Hong Hye-Ri) - Seoul National University College of Medicine Department of Obstetrics and Gynecology
Ȳ±Ô¸®(Hwang Kyu-Ri) - Seoul National University College of Medicine Department of Obstetrics and Gynecology
±è¼º¾Ö(Kim Sung-Ae) - Seoul National University College of Medicine Department of Obstetrics and Gynecology
±ÇÁ¤Àº(Kwon Jeong-Eun) - Seoul National University College of Medicine Department of Obstetrics and Gynecology
ÀüÇý¿ø(Jeon Hye-Won) - Seoul National University College of Medicine Department of Obstetrics and Gynecology
ÃÖÁöÀº(Choi Ji-Eun) - SMG-SNU Boramae Medical Center Department of Pediatrics
¼Ò¿µÈ£(So Young-Ho) - Seoul National University Boramae Medical Center Department of Radiology
Abstract
Vulvar hematomas are uncommon outside of the obstetric population and may be the result of trauma to the perineum. Vulvar hematomas most often present with low abdominal pain and urologic and neurologic symptoms. The vulva has rich vascularization that is supplied by the pudendal artery, a branch of the anterior division of the internal iliac artery. We describe a rare case of a 15-cm-sized vulvar hematoma with the suggested rupture of a pseudoaneurysm of the left pudendal artery without trauma injury. A 14-year-old girl presented with sudden pain and swelling in her left labium and was successfully treated with selective arterial embolization and surgical evacuation. We provide a literature review and discuss patient treatment and management strategies.
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Aneurysm, false, Hematoma, Vulvar
KMID :
0358420140570020168
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