Obstetrics & Gynecology Science  2014;57(2):168-171

doi:10.5468/ogs.2014.57.2.168

A case of vulvar hematoma with rupture of pseudoaneurysm of pudendal artery.

Hye Ri HONG 1 ; Kyu Ri HWANG ; Sung Ae KIM ; Jeong Eun KWON ; Hye Won JEON ; Ji Eun CHOI ; Young Ho SO

Affiliations

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Keywords

Aneurysm, false; Hematoma; Vulvar

Country

Republic of Korea

Language

English

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.