[Perigenital hematoma. Diagnosis and management].
OBJECTIVE
Discuss the clinical aspects and the management of perigenital hematoma, a rare complication of delivery that can engage the vital prognosis.


METHODS
We report 4 cases of peri-genital hematomas recorded in the department C of obstetrics and gynecology, in the maternity center of Tunis. In two cases, the patients had only medical treatment and in the two others arterial embolisation was performed.


CONCLUSIONS
The diagnosis is evoked in front of an unexplained hemorrhagic choc with perineal pain. Upon diagnosis, the patient must be rapidly managed associating resuscitation, surgery and angiographic embolisation.
Zeghal
Dorra
D
Service C de gynécologie-obstétrique, centre de maternité de Tunis, Tunisie.
Kehila
Mehdi
M
Mahjoub
Sami
S
Ben Brahim
Foued
F
Rajhi
Hatem
H
Zouari
Faouzia
F
D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D006406:Hematoma / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D014623:Vaginal Diseases / Q000175:diagnosis / Q000628:therapy; D014845:Vulvar Diseases / Q000175:diagnosis / Q000628:therapy