TRANSCATHETER ARTERIAL EMBOLIZATION FOR TREATMENT OF VULVAL HEMATOMA ASSOCIATED WITH SEXUAL INTERCOURSE : A CASE REPORT

Abstract

　　Vulval hematomas are mainly observed in obstetrics, but they may occur after sexual intercourse. A 40-year-old woman developed pain and swelling in her right vulval region during sexual intercourse. She presented to the emergency department because the pain had worsened. We observed a right vulval hematoma on contrast-enhanced computed tomography, with extravasation of contrast medium into the hematoma. After transcatheter arterial embolization, the hematoma was removed. The patient was discharged 5 days later. A growing hematoma displaces structures, including blood vessels, which can change the anatomical layout. Ligation of the artery may become difficult in such cases, but arterial embolization is useful. Arterial embolization should be selected as the first-line treatment for a vulval hematoma that develops after sexual intercourse or during the postpartum period.