Non-obstetric vulvar hematomas are rare and have never been reported in West Cameroon. No guidelines are available to inform the management of cases. Authors herein report the successful management of a post-traumatic vulvar hematoma in a 17 years old gravida 1 para patient. She was referred to our emergency department ten hours after a fall in a squatting position during a road traffic accident.
Prior to the referral she had been managed conservatively by analgesics and a compressive dressing of the vulva in a community clinic.
Clinical assessment on admission revealed a good general condition, normal vital signs and a tense and painful hematoma of the right labia. Surgery was done under general anesthesia to drain the hematoma, ligate the bleeding vessels and repair the vulva. Post-operative course was uneventful and the patient was discharge six days later. This case reminds practitioners in remote health facilities that early referral of this rare pathology contributes to its successful surgical management in our semi-urban region.
Ernest A, Knapp G. Severe traumatic vulva hematoma in teenage girl. Clinical Case Reports. Massive postpartum vulvar hematoma: about one case at the Yaounde Central Hospital Cameroon.
Pan African Med J. Health Sci Dis. Tchounzou R, Chichom-Mefire A. Retrospective analysis of clinical features, treatment and outcome of coital injuries of the female genital tract consecutive to consensual sexual intercourse in the Limbe Regional Hospital. Sex Med. Papoutsis D, Haefner HK. Large vulvar haematoma of traumatic origin. J Clin Diag Res. Road Traffic Injuries in Yaounde, Cameroon: hospital-based surveillance study.
