title: Serious hematoma of the vulva from a bicycle accident. A case report.
abstract: BACKGROUND
  Vulvar hematomas may be caused by obstetric, athletic or sexual trauma or by car or bicycle accidents.
  
  
  METHODS
  A 29-year-old woman presented with a serious vulvar hematoma caused by a straddle bicycle accident. Monitoring of the hematologic parameters showed progressive anemia resulting from silent bleeding, which required surgical evacuation of the hematoma and complete hemostasis.
  
  
  CONCLUSIONS
  The rich vulvar vascular network may be easily damaged by contusive frontal impacts, which crush the vulvar tissues against the osseous planes. Management of vulvar hematomas may range from conservative to surgical. Drainage and incision are advised in more severe cases to reduce infective complications and hospitalization.
authors.affiliation: Department of Clinical and Experimental Medicine, University of Ferrara, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Virgili
authors.forename: A
authors.initials: A
authors.lastname: Bianchi
authors.forename: G
authors.initials: G
authors.lastname: Mollica
authors.forename: M
authors.initials: M
authors.lastname: Corazza
mesh_terms: D000328:Adult; D000740:Anemia / Q000209:etiology; D001642:Bicycling / Q000293:injuries*; D004322:Drainage; D005260:Female; D006406:Hematoma / Q000209:etiology* / Q000601:surgery; D006470:Hemorrhage / Q000150:complications / Q000209:etiology / Q000601:surgery; D006488:Hemostasis, Surgical; D006801:Humans; D014844:Vulva / Q000098:blood supply / Q000293:injuries*; D014845:Vulvar Diseases / Q000209:etiology* / Q000601:surgery