Sherer David M, Stimphil Raphael, Hellmann Mira, Abdelmalek Ehab, Zinn Harry, Abulafia Ovadia
Division of Maternal-Fetal Medicine and Gynecologic Oncology, Department of Obstetrics and Gynecology, State University of New York Downstate Medical Center, Brooklyn, 11203-2098, USA.
J Clin Ultrasound. 2006 Jul-Aug;34(6):309-12. doi: 10.1002/jcu.20188.
Vulvar hematomas may result from puerperal or nonpuerperal-related trauma. These perineal injuries, especially the puerperal type, may be life-threatening and require surgical exploration, evacuation, and hemostasis. In the absence of acute hematoma expansion, expectant management may suffice. Experience with transperineal sonography in the assessment of female perineal trauma has been limited to a single case report pertaining to a puerperal vulvar hematoma. We present an unusual case in which the transperineal sonographic appearance of a large vulvar hematoma following a straddle injury to the perineum assisted in the expectant management of this condition.
外阴血肿可能由产后或非产后相关创伤引起。这些会阴损伤，尤其是产后类型的损伤，可能危及生命，需要进行手术探查、引流和止血。在没有急性血肿扩大的情况下，观察等待治疗可能就足够了。经会阴超声在评估女性会阴创伤方面的经验仅限于一篇关于产后外阴血肿的病例报告。我们报告一例罕见病例，会阴部骑跨伤后出现的巨大外阴血肿，经会阴超声检查结果有助于对此病症进行观察等待治疗。
