title: A case of vulvar hematoma with rupture of pseudoaneurysm of pudendal artery.
abstract: Vulvar hematomas are uncommon outside of the obstetric population and may be the result of trauma to the perineum. Vulvar hematomas most often present with low abdominal pain and urologic and neurologic symptoms. The vulva has rich vascularization that is supplied by the pudendal artery, a branch of the anterior division of the internal iliac artery. We describe a rare case of a 15-cm-sized vulvar hematoma with the suggested rupture of a pseudoaneurysm of the left pudendal artery without trauma injury. A 14-year-old girl presented with sudden pain and swelling in her left labium and was successfully treated with selective arterial embolization and surgical evacuation. We provide a literature review and discuss patient treatment and management strategies.
authors.affiliation: Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea. ; Department of Obstetrics and Gynecology, SMG-SNU Boramae Medical Center, Seoul, Korea.
authors.forename: Hye Ri
authors.initials: HR
authors.lastname: Hong
authors.affiliation: Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea. ; Department of Obstetrics and Gynecology, SMG-SNU Boramae Medical Center, Seoul, Korea.
authors.forename: Kyu Ri
authors.initials: KR
authors.lastname: Hwang
authors.affiliation: Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea. ; Department of Obstetrics and Gynecology, SMG-SNU Boramae Medical Center, Seoul, Korea.
authors.forename: Sung Ae
authors.initials: SA
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea. ; Department of Obstetrics and Gynecology, SMG-SNU Boramae Medical Center, Seoul, Korea.
authors.forename: Jeong Eun
authors.initials: JE
authors.lastname: Kwon
authors.affiliation: Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea. ; Department of Obstetrics and Gynecology, SMG-SNU Boramae Medical Center, Seoul, Korea.
authors.forename: Hye Won
authors.initials: HW
authors.lastname: Jeon
authors.affiliation: Department of Pediatrics, SMG-SNU Boramae Medical Center, Seoul, Korea.
authors.forename: Ji Eun
authors.initials: JE
authors.lastname: Choi
authors.affiliation: Department of Radiology, SMG-SNU Boramae Medical Center, Seoul, Korea.
authors.forename: Young Ho
authors.initials: YH
authors.lastname: So
keywords: Aneurysm, false; Hematoma; Vulvar