Obstetrics & Gynecology Science  2017;60(5):473-476

doi:10.5468/ogs.2017.60.5.473

Genital tract cavernous hemangioma as a rare cause of postpartum hemorrhage.

Bo Ram YU 1 ; Ga Eul LEE ; Dong Hyu CHO ; Young Ju JEONG ; Jeong Heon LEE

Affiliations

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Keywords

Hemangioma, cavernous; Postpartum hemorrhage; Transarterial embolization

Country

Republic of Korea

Language

English

Abstract

Cavernous hemangiomas rarely involve the female genital tract. It is difficult to identify vascular malformations when these lesions are concealed in the vagina or deep vulva area. We present a rare case of vaginal cavernous hemangioma in a 30-year-old primiparous woman with an early severe postpartum hemorrhage (PPH) and delayed continuous bleeding from the episiotomy site. She was treated successfully with transarterial embolization of the left vaginal artery. To our knowledge, this is the first reported case of PPH caused by rupture of a vaginal hemangioma during vaginal delivery in English literature.