Case Review: Post Partum Vulvo-vaginal Haematomas and Options of Management
Authors
Lim Pei Shan
Department of Obstetrics and Gynaecology, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia
Nirmala Kampan
Mohamad Nasir Shafiee
Rozman Zakaria
Mohd Hashim Omar
Zainul Rashid Mohd Razi
Muhammad Abdul Jamil Muhammad Yassin
Abstract
Vulvo-vaginal haematomas are not an uncommon obstetric complication. Despite advances in obstetric care, practice and technique, vulvo-vaginal haematomas do occur especially in complicated vaginal deliveries. Various management options are available for vulvo-vaginal haematomas. We describe three cases of vulvo-vaginal haematomas with different severity and presentations which were managed in different manners i.e. local haemostasis control, laparotomy with hysterectomy, and transarterial embolisation. The choice of treatment options would mainly depend on the clinical presentations, availability of expertise as well as facilities. Early identification is crucial.
