Birch Eleanor M, McClean Theodore, Szymanski Scott
Madigan Army Medical Center, Department of Emergency Medicine, Joint Base Lewis-McChord, WA.
J Educ Teach Emerg Med. 2024 Oct 31;9(4):V6-V9. doi: 10.21980/J8194H. eCollection 2024 Oct.
Non-obstetric vulvar hematoma is a rare but clinically important diagnosis in the emergency department for which there is no consensus on optimal diagnosis or management. We present a case of non-obstetric vulvar hematoma that occurred after minimal trauma in a young, otherwise healthy woman who presented with labial swelling after consensual digital penetration, initially managed conservatively but ultimately requiring surgical drainage. Although a rare presentation in the emergency department, prompt identification, diagnosis, and management of vulvar hematoma is crucial to appropriately treat complications including pain, hemodynamically significant hemorrhage, urinary obstruction, and soft tissue necrosis.
Vulvar hematoma, pelvic trauma, women's health, CT (computed tomography) angiography.
非产科外阴血肿在急诊科是一种罕见但临床上重要的诊断，对于其最佳诊断或处理尚无共识。我们报告一例非产科外阴血肿病例，该病例发生在一名年轻、健康的女性身上，在自愿的手指插入后出现阴唇肿胀，最初采用保守治疗，但最终需要手术引流。尽管在外急诊科这种情况罕见，但及时识别、诊断和处理外阴血肿对于恰当治疗包括疼痛、血流动力学上显著的出血、尿路梗阻和软组织坏死等并发症至关重要。
外阴血肿、盆腔创伤、女性健康、CT（计算机断层扫描）血管造影术
