CASE REPORT : NON-OBSTETRIC GIANT VULVAR HEMATOMA TREATED BY TAE AND SMALL-INCISION SURGERY

Abstract

　　Severe non-obstetric genital hematomas are rare. We report a case of giant vulvar hematoma due to a bicycle accident. A female in her 20s fell while riding a bicycle and hit her genitals on the handle bars. After the injury, her vulvar hematoma increased in size and she was unable to move because of pain. Three hours after injury, she came to our hospital by ambulance. At the first visit, the right side of her vulva was swollen. CT demonstrated active bleeding. We performed TAE for hemostasis, and a small incision was then made inside her labia minora to remove the hematoma. Hematoma must be removed if the area is markedly large and/or there is severe pain. As hemostasis is necessary at the time of surgery, we performed TAE beforehand and were able to remove the hematoma through a minimally invasive incision.