No abstract

Background: Vulvar hematomas are uncommon. They may be the result of traumatic injury in nonpregnant women or present as an uncommon complication of childbirth. This article describes an unusual case of a spontaneous bilateral hematoma that presented with unexplained vulvar swelling in a 25-weeks' pregnant woman. Case: A multiparious, 32-year-old, pregnant woman presented with bilateral vulvar swelling and rapid onset of pain. Fifteen weeks prior, she had found a 3-4-cm cystic mass on the bilateral labia although she had no preceding traumatic event. Detailed physical and imaging evaluation suggested spontaneous vulvar hematomas. She was treated successfully with surgical evacuation of hematoma clots. Results: After this treatment, the patient went on to have an uneventful vaginal delivery at the 38th week of her pregnancy. Conclusions: An accurate recognition of spontaneous vulvar hematoma during pregnancy can enable complete recovery for a patient so she can continue a normal pregnancy with an uncomplicated spontaneous vaginal delivery. J GYNECOL SURG 31:101)