Optimal approach for management of postpartum vulva hematoma: Report of three cases
| Autor: | Chia-Ming Chang, I-Chia Lin, Wei-Ting Chao, Jen-Yu Tseng, Jun-Hung Lin, Peng-Hui Wang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment lcsh:Gynecology and obstetrics Vulvar hematoma Vulva 03 medical and health sciences Embolization 0302 clinical medicine Hematoma Medicine lcsh:RG1-991 030219 obstetrics & reproductive medicine Debridement medicine.diagnostic_test business.industry Arterial Embolization Surgical debridement Obstetrics and Gynecology Interventional radiology medicine.disease Vessel occlusion Optimal management Surgery medicine.anatomical_structure business |
| Zdroj: | Taiwanese Journal of Obstetrics & Gynecology, Vol 59, Iss 5, Pp 780-783 (2020) |
| ISSN: | 1028-4559 |
| Popis: | Objective Vulvar hematomas though common in obstetrical practice can rapidly evolve into a life-threatening condition if not managed appropriately. Depending on clinical status and medical facility, conservative management, surgical debridement, or vessel-occlusion strategy can be considered. Case report Case 1 was a 28 year-old pregnant woman. Increasing hematoma over 12 cm in size was noted on postpartum Day 2. Debridement and arterial embolization were done. Case 2 was a referred woman at age of 30 who delivered at a local obstetric clinic. Debridement was performed successfully. Case 3 was a 23 year-old woman with postpartum bilateral hematoma. Drop in hemoglobin level prompted the medical team to transfer and airlift the patient for arterial embolization and subsequent vulva debridement. Conclusion Optimal management of hematoma is dependent on maternal hemodynamic condition, bleeding status, and availability of interventional radiology. |
| Databáze: | OpenAIRE |
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