Pediatric Vulvar Hematoma: Surgical Management and Developmental Considerations: Two Case Reports
- Author:
Hye Mi LEE
1
;
Ryang Woo LEE
;
Eun Jung JANG
;
Young Cheon NA
Author Information
- Publication Type:Case Report
- From: Journal of Wound Management and Research 2026;22(1):43-48
- CountryRepublic of Korea
- Language:English
- Abstract: Pediatric vulvar hematoma typically results from straddle-type injuries and is usually managed with nonoperative measures. However, rapid progression and the risk of complications in some cases, including tissue necrosis, infection, and urinary retention, necessitate surgical intervention. The highly vascularized anatomy of the vulva allows for rapid hematoma expansion, requiring careful assessment of hematoma size, progression, functional impairment, and hemodynamic stability when determining the treatment strategy. In addition, genital trauma during developmental periods can influence self-perception and psychosexual development, making timely intervention important to prevent aesthetic and functional sequelae. We present two pediatric patients with vulvar hematoma who underwent successful surgical treatment following careful evaluation of both physical and psychological factors. This report emphasizes the importance of a comprehensive, multifaceted approach to the management of pediatric vulvar hematomas.
