14 岁少女性交后严重外阴血肿的手术处理和临床随访：病例报告。
Surgical management and clinical follow-up of post-coital severe vulvar hematoma in a 14-year-old adolescent girl: A case presentation.
机构信息
Department of Obstetrics and Gynecology, Izmir Tınaztepe University Faculty of Medicine Izmir, Turkey.
Department of Obstetrics and Gynecology, University of Health Sciences Tepecik Training and Research Hospital Izmir, Turkey.
出版信息
Acta Biomed. 2021 Apr 30;92(S1):e2021041. doi: 10.23750/abm.v92iS1.9135.
BACKGROUND
Vulvar hematoma is often puerperal. A case of non-puerperal vulvovaginal hematoma is rare in the literature. There is no consensus on the management of vulvovaginal hematoma. In this study, we discussed the approach to a rare case of non-puerperal vulvar hematoma.
CASE
We present the case of a 14-year-old adolescent female with a severe vulvar non-obstetric hematoma that occurred after she had been illegally and voluntarily married.
CONCLUSION
In conclusion; vulvar hematoma is the most common non-obstetric cause of perineal trauma and carries the risk of mortality by causing hypovolemic shock. The conservative approach is preferred for small and non-growing hematomas; however, surgical hematoma drainage is used for large and enlarging hematomas. Selective arterial embolization procedure is not common as the required equipment is not available in all healthcare facilities.
背景
外阴血肿通常是产后的。文献中很少有非产后的外阴阴道血肿病例。对于外阴阴道血肿的处理方法尚无共识。在本研究中，我们讨论了一种罕见的非产后外阴血肿病例的处理方法。
病例
我们报告了一例 14 岁少女的严重外阴非产科血肿病例，该血肿发生在她被非法且自愿结婚后。
结论
总之，外阴血肿是最常见的非产科会阴创伤原因，可导致低血容量性休克而导致死亡。对于小的和非增大的血肿，首选保守方法；然而，对于大的和增大的血肿，则使用手术血肿引流。选择性动脉栓塞术并不常见，因为并非所有医疗机构都具备所需设备。
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