title: Transperineal sonography of a large vulvar hematoma following blunt perineal trauma.
abstract: Vulvar hematomas may result from puerperal or nonpuerperal-related trauma. These perineal injuries, especially the puerperal type, may be life-threatening and require surgical exploration, evacuation, and hemostasis. In the absence of acute hematoma expansion, expectant management may suffice. Experience with transperineal sonography in the assessment of female perineal trauma has been limited to a single case report pertaining to a puerperal vulvar hematoma. We present an unusual case in which the transperineal sonographic appearance of a large vulvar hematoma following a straddle injury to the perineum assisted in the expectant management of this condition.
authors.affiliation: Division of Maternal-Fetal Medicine and Gynecologic Oncology, Department of Obstetrics and Gynecology, State University of New York Downstate Medical Center, Brooklyn, 11203-2098, USA.
authors.forename: David M
authors.initials: DM
authors.lastname: Sherer
authors.forename: Raphael
authors.initials: R
authors.lastname: Stimphil
authors.forename: Mira
authors.initials: M
authors.lastname: Hellmann
authors.forename: Ehab
authors.initials: E
authors.lastname: Abdelmalek
authors.forename: Harry
authors.initials: H
authors.lastname: Zinn
authors.forename: Ovadia
authors.initials: O
authors.lastname: Abulafia
mesh_terms: D000328:Adult; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging*; D006801:Humans; D010502:Perineum / Q000293:injuries*; D014463:Ultrasonography; D014844:Vulva / Q000293:injuries*; D014845:Vulvar Diseases / Q000000981:diagnostic imaging*; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging*