TITLE:
Extensive Vulvar Hematoma as a Complication of Labiaplasty: A Case Report
AUTHORS:
Amal Al Mulla, Humma Habib, Ousama Jarrad
KEYWORDS:
Hematoma, Labiaplasty, Vulva, Anesthetic Gynecological Procedures
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.7,
July
8,
2020
ABSTRACT: Vulvar hematoma is an extremely rare complication
outside obstetric practice. Owing
to the vulvar structure and its rich blood supply, hematoma can reach an enormous size over a short period.
Although direct trauma is the anesthetic 31-year-old nullipara admitted
for acute massive vulvar swelling as a complication of labiaplasty. She scored
10 on the pain scale. Upon admission to the emergency department, she had
normal vital signs and was immediately started on intravenous acetaminophen and
prophylactic antibiotics. The patient was subsequently transferred to the
operating theater for examination and drainage of the hematoma under
anesthesia. Reconstruction of the labia was performed. The patient had a smooth
postoperative course and was discharged on the 3rd postoperative
day. We concluded that Anesthetic gynecological procedures, although
categorized as minor, can result in grave sequelae, and must therefore be
performed in a hospital set-up.