Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB.
Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB.
J Obstet Gynaecol Can. 2021 Jun;43(6):763-765. doi: 10.1016/j.jogc.2020.10.012. Epub 2020 Nov 7.
Vulvar trauma is relatively uncommon and typically occurs in accidental or sports-related injuries. There is limited literature for management of penetrating trauma to the vulva.
A 38-year-old G9, P9 woman presented to the gynaecology service for assessment of vulvar injury after a gunshot wound to the right lateral thigh. She underwent initial stabilization and operative management by the Trauma and Plastic Surgery services for predominantly soft-tissue injuries. Multiple gunshot pellets were found embedded in the right labia majora and medial thigh. On assessment, surgical removal was deemed necessary on the basis of symptoms and potential for functional impairment.
We present the first reported case on the management of vulvar injury secondary to penetrating trauma. The principles of non-obstetrical vulvar trauma management are discussed.
外阴创伤相对少见，通常发生于意外或与运动相关的损伤。对于外阴穿透性创伤的处理，文献报道有限。
一名 38 岁 G9P9 的女性因右侧大腿外侧枪伤就诊于妇科，以评估外阴损伤。她首先在创伤和整形外科技能服务下进行了初始稳定和手术治疗，主要为软组织损伤。在右侧大阴唇和大腿内侧发现了多个嵌入的枪伤弹丸。根据症状和功能障碍的潜在风险，评估后认为有必要进行手术切除。
我们报告了首例因穿透性创伤导致的外阴损伤的处理病例。讨论了非产科外阴创伤处理的原则。
