Case ReportInternational Journal of Reproduction, Contraception, Obstetrics and Gynecology
Publication: A freaky motorbike accident causing vulvar hematoma: a case report at the Bafoussam Regional Hospital, West-Cameroon
Int J Reprod Contracept Obstet Gynecol. 2020;9(3):1321-1323.DOI10.18203/2320-1770.ijrcog20200927
Abstract
Non-obstetric vulvar hematomas are rare and have never been reported in West Cameroon. No guidelines are available to inform the management of cases. Authors herein report the successful management of a post-traumatic vulvar hematoma in a 17 years old gravida 1 para 1001 patient. She was referred to our emergency department ten hours after a fall in a squatting position during a road traffic accident. Prior to the referral she had been managed conservatively by analgesics and a compressive dressing of the vulva in a community clinic. Clinical assessment on admission revealed a good general condition, normal vital signs and a tense and painful hematoma of the right labia. Surgery was done under general anesthesia to drain the hematoma, ligate the bleeding vessels and repair the vulva. Post-operative course was uneventful and the patient was discharge six days later. This case reminds practitioners in remote health facilities that early referral of this rare pathology contributes to its successful surgical management in our semi-urban region.
Keywords
Affiliations
- Department of Obstetrics and Gynecology, Bafoussam Regional Hospital, Cameroon
- Director, Bafoussam Regional Hospital, Cameroon
- Department of Obstetrics and Gynaecology at the Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon
- Department of Obstetrics and Gynaecology at the Faculty of Medicine and Biomedical Sciences, University of Yaounde 1. Cameroon
- Department of Obstetrics and Gynaecology, Yaounde Central Hospital, Cameroon
- Department of biological sciences at the Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala-Cameroon
- Department of Microbiology, Immunology and Haematology at the Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang-Cameroon
- Director of the Bafoussam Regional Hospital. Bafoussal – Cameroon
- Department of Morphological Sciences at the Faculty of Medicine and Biomedical Sciences of the University of Yaounde 1. Yaounde - Cameroon
- Department of Obstetrics and Gynaecology at the Faculty of Medicine and Biomedical Sciences, University of Yaounde 1. Yaounde, Cameroon