Vulva hematoma

Abstract

Background: Vulva hematoma is a very rare maternal injury that usually presents in the third stage of labor after a normal spontaneous vaginal delivery. Most cases develop insidiously with a sudden collapse and severe groin pain. Causes reported include imperfect repair of episiotomy and rupture of varicose vein of the vulva. We report an interesting case of vulva hematoma. Case Report: We present a case of a 22-year-old primipara referred from a peripheral hospital, having collapsed at home following an unsupervised spontaneous vaginal delivery at home 6 h earlier. At presentation, the patient was pale and in shock. There was a huge left vulva hematoma with a peri-urethral laceration up to the clitoris. Surgical treatment resulted in a good outcome. Conclusion: Vulva hematoma is a rare cause of maternal morbidity and mortality. This case reminds an obstetrician to be suspicious of vulva hematoma in a patient in shock postpartum.