title: Traumatic vulvar hematoma masquerading as a bartholin duct cyst in a postmenopausal woman.
abstract: Vulvar hematomas, while typically occurring following vaginal delivery, are occasionally seen in the nonpregnant patient following perineal trauma. When these, as well as any vulvar mass, are discovered in a postmenopausal woman, concern regarding a neoplasm exists.
  
  
  METHODS
  A 66-year-old woman was found to have a large vulvar mass which was initially believed to be a Bartholin duct cyst. At surgery a vulvar hematoma was found and evacuated. Subsequent biopsy was negative for malignancy.
  
  
  CONCLUSIONS
  Any vulvar mass discovered in a postmenopausal woman warrants meticulous evaluation to exclude malignancy. Although usually occurring in younger women, a vulvar hematoma may be noted in older women who have sustained trauma to the perineum.
authors.affiliation: Department of Obstetrics and Gynecology, Family Health Center, Laurel, Mississippi, USA. perksurg@hotmail.com
authors.forename: James D
authors.initials: JD
authors.lastname: Perkins
authors.forename: Paula F
authors.initials: PF
authors.lastname: Morris
mesh_terms: D000368:Aged; D001472:Bartholin's Glands; D001706:Biopsy; D003560:Cysts; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D010502:Perineum / Q000293:injuries*; D017698:Postmenopause; D014844:Vulva / Q000601:surgery; D014845:Vulvar Diseases / Q000175:diagnosis* / Q000601:surgery