Spontaneous vulvar hematoma during pregnancy: A case report

Erin L. Nelson, Ashley N. Parker, Donald J. Dudley

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


BACKGROUND: Vulvar hematoma is a relatively uncommon occurrence. Most have been described resulting from traumatic injury in nonpregnant women or as an uncommon complication of childbirth. We describe a case of a spontaneous 6-cm vulvar hematoma that presented as unexplained vulvar edema in a 35-weeks-pregnant woman. CASE: A pregnant woman presented to the obstetrics triage unit with rapid onset unilateral vulvar swelling and no preceding traumatic event. A detailed physical examination and radiologic evaluation revealed a spontaneous vulvar hematoma as the cause. After incision and drainage of the hematoma, her edema resolved and the patient went on to have an uneventful vaginal delivery 4 weeks later. CONCLUSION: Spontaneous vulvar hematoma is a rare event. Rapid recognition and treatment in this case allowed for complete recovery and enabled this pregnant woman to continue a normal pregnancy with uncomplicated spontaneous vaginal delivery.

Original languageEnglish (US)
Pages (from-to)74-76
Number of pages3
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Issue number1
StatePublished - Feb 2012


  • Hematoma
  • Pregnancy
  • Vulva
  • Vulvar hematoma

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology


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