RT Book, Section
A1 Dooley-Hash, Suzanne
A1 Knoop, Kevin J.
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181041601
T1 Vulvar Hematoma
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181041601
RD 2024/04/19
AB Because  of  the  rich  vascular  supply,  trauma  to  the  perineum  can  produce  bleeding,  commonly  resulting  in  a  vulvar  hematoma.  It  is  important  to  ascertain  the  mechanism  and  to  examine  for  internal  injuries,  which  are  more  difficult  to  detect.  A  common  mechanism  is  a  straddle  injury,  but  this  can  also  be  a  result  of  forceful  consensual  or  nonconsensual  sexual  activity.  Patients  are  often  reluctant  to  reveal  the  nature  of  the  mechanism,  making  those  at  risk  harder  to  identify.  The  accumulation  of  the  hematoma  is  usually  rapid  and  painful.  If  there  is  an  associate  laceration,  bleeding  can  be  brisk.