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Delayed presentation of a non-resorbing postpartum vulvar hematoma: A case report

Vulvar hematomas are more common in the obstetric population, and usually present within 24 h of delivery. Small, nonexpanding vulvar hematomas will often resolve with conservative management. In a rural setting in the USA, a 35-year-old woman, G3P3, presented to clinic 26 days after a home vaginal...

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Autores principales: Winkelman, Jeremy, Murphy, Kevin, Booth, Cynthia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10334312/
https://www.ncbi.nlm.nih.gov/pubmed/37440765
http://dx.doi.org/10.1016/j.crwh.2023.e00518
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author Winkelman, Jeremy
Murphy, Kevin
Booth, Cynthia
author_facet Winkelman, Jeremy
Murphy, Kevin
Booth, Cynthia
author_sort Winkelman, Jeremy
collection PubMed
description Vulvar hematomas are more common in the obstetric population, and usually present within 24 h of delivery. Small, nonexpanding vulvar hematomas will often resolve with conservative management. In a rural setting in the USA, a 35-year-old woman, G3P3, presented to clinic 26 days after a home vaginal delivery attended by a midwife, which was complicated by postpartum hemorrhage secondary to retained placenta. Ten days after her delivery she developed intense pressure in her inferior right vulva. On examination a 4–5 cm well defined right vulvar mass was observed. Incision and drainage were performed and the mass was determined to be a hematoma that had not resorbed. Four days later, the patient returned to clinic as the mass had reformed. Computerized tomography did not show extravasation of contrast. As examination showed the mass was now 1 cm smaller, no intervention was undertaken and after one month the hematoma had completely resolved. This case provides a rare example of the delayed development of a vulvar hematoma. In the literature, the vast majority are reported to present within 24 h of delivery. Smaller hematomas, such as this one, which was 4-5 cm, are treated conservatively, as they typically absorb. This hematoma was present for approximately two weeks without resorbing.
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spelling pubmed-103343122023-07-12 Delayed presentation of a non-resorbing postpartum vulvar hematoma: A case report Winkelman, Jeremy Murphy, Kevin Booth, Cynthia Case Rep Womens Health Article Vulvar hematomas are more common in the obstetric population, and usually present within 24 h of delivery. Small, nonexpanding vulvar hematomas will often resolve with conservative management. In a rural setting in the USA, a 35-year-old woman, G3P3, presented to clinic 26 days after a home vaginal delivery attended by a midwife, which was complicated by postpartum hemorrhage secondary to retained placenta. Ten days after her delivery she developed intense pressure in her inferior right vulva. On examination a 4–5 cm well defined right vulvar mass was observed. Incision and drainage were performed and the mass was determined to be a hematoma that had not resorbed. Four days later, the patient returned to clinic as the mass had reformed. Computerized tomography did not show extravasation of contrast. As examination showed the mass was now 1 cm smaller, no intervention was undertaken and after one month the hematoma had completely resolved. This case provides a rare example of the delayed development of a vulvar hematoma. In the literature, the vast majority are reported to present within 24 h of delivery. Smaller hematomas, such as this one, which was 4-5 cm, are treated conservatively, as they typically absorb. This hematoma was present for approximately two weeks without resorbing. Elsevier 2023-06-07 /pmc/articles/PMC10334312/ /pubmed/37440765 http://dx.doi.org/10.1016/j.crwh.2023.e00518 Text en https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Winkelman, Jeremy
Murphy, Kevin
Booth, Cynthia
Delayed presentation of a non-resorbing postpartum vulvar hematoma: A case report
title Delayed presentation of a non-resorbing postpartum vulvar hematoma: A case report
title_full Delayed presentation of a non-resorbing postpartum vulvar hematoma: A case report
title_fullStr Delayed presentation of a non-resorbing postpartum vulvar hematoma: A case report
title_full_unstemmed Delayed presentation of a non-resorbing postpartum vulvar hematoma: A case report
title_short Delayed presentation of a non-resorbing postpartum vulvar hematoma: A case report
title_sort delayed presentation of a non-resorbing postpartum vulvar hematoma: a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10334312/
https://www.ncbi.nlm.nih.gov/pubmed/37440765
http://dx.doi.org/10.1016/j.crwh.2023.e00518
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