Serious hematoma of the vulva from a bicycle accident - A case report

BACKGROUND: Vulvar hematomas may be caused by obstetric, athletic or sexual trauma or by car or bicycle accidents. CASE: A 29-year-old woman presented with a serious vulvar hematoma caused b y a straddle bicycle accident. Monitoring of the hematologic parameters sho wed progressive anemia resulting from silent bleeding, which required surgi cal evacuation of the hematoma and complete hemostasis. CONCLUSION: The rich vulvar vascular network may be easily damaged by contu sive frontal impacts, which crush the vulvar tissues against the osseous pl anes. Management of vulvar hematomas may range from conservative to surgica l. Drainage and incision are advised in more severe cases to reduce infecti ve complications and hospitalization.