Article

Vulvar hematoma after cunnilingus in a teenager with essential thrombocythemia: a case report.

Department of Obstetrics and Gynecology, Rabin Medical Center, Golda Campus, Petah Tiqval, Israel.
The Journal of reproductive medicine (Impact Factor: 0.75). 06/2007; 52(5):458-9.
Source: PubMed

ABSTRACT Nonobstetric injuries of the female genital tract constitute up to 0.8% of all gynecologic admissions. Approximately 40% of such admissions are due to coital injuries. Vulvar injuries following cunnilingus have been reported only rarely.
A 17-year-old with known essential thrombocytopenia was being treated with low-dose aspirin and presented with a 4-cm vulvar hematoma that occurred during cunnilingus. The hematoma was evacuated uneventfully, with no signs of further bleeding and no patient complaints. As the patient, a minor under Israeli law, wished to conceal the circumstances from her parents, we told them that she had suffered vulvar trauma from the background disease.
This case demonstrates an unexpected complication of a necessary treatment for a major disease and the sometimes dual obligation of physicians to their patients and their families.

0 Bookmarks
 · 
113 Views
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Vulvar hematomas are uncommon outside of the obstetric population and may be the result of trauma to the perineum. Vulvar hematomas most often present with low abdominal pain and urologic and neurologic symptoms. The vulva has rich vascularization that is supplied by the pudendal artery, a branch of the anterior division of the internal iliac artery. We describe a rare case of a 15-cm-sized vulvar hematoma with the suggested rupture of a pseudoaneurysm of the left pudendal artery without trauma injury. A 14-year-old girl presented with sudden pain and swelling in her left labium and was successfully treated with selective arterial embolization and surgical evacuation. We provide a literature review and discuss patient treatment and management strategies.
    Obstetrics & gynecology science. 03/2014; 57(2):168-71.