Awoleke J O, Ipinnimo O M
Department of Obstetrics and Gynaecology, Ekiti State University, Ado Ekiti, Ekiti State, Nigeria; Department of Obstetrics and Gynaecology, Ekiti State University Teaching Hospital, Ado Ekiti, Ekiti State, Nigeria.
Department of Obstetrics and Gynaecology, Ekiti State University Teaching Hospital, Ado Ekiti, Ekiti State, Nigeria.
Case Rep Obstet Gynecol. 2017;2017:8062793. doi: 10.1155/2017/8062793. Epub 2017 Jan 18.
Even though they are quite uncommon, puerperal genital haematomas can be associated with serious maternal morbidity. Key findings are significant perineal pain and, depending on the location, visible swelling. However, attention can be drawn to its progression by the rare occurrence of persistent painful "bearing down" efforts, even after the successful delivery of the baby. The final size of this haematoma and the rare presentation make it truly uncommon. The primary goals of treatment include the prevention of further blood loss, minimizing tissue damage, relieving pain, and reducing the risk of infection. Management is generally conservative for small collections, but surgery is indispensable when they acutely expand in size or are large with worsening symptoms.
尽管产后生殖器血肿相当少见，但可能与严重的产妇发病相关。主要表现为会阴部剧痛，根据血肿位置不同，还可见肿胀。然而，即使在胎儿成功娩出后，罕见的持续性疼痛性“屏气用力”情况也可能提示其病情进展。这种血肿的最终大小以及罕见的表现使其确实不常见。治疗的主要目标包括预防进一步失血、使组织损伤最小化、缓解疼痛以及降低感染风险。对于小血肿，治疗通常采用保守方法，但当血肿急性增大或体积较大且症状恶化时，手术是必不可少的。
