Perigénital hematoma. Diagnosis and management

Authors

  • Dorra Zeghal
  • Mehdi Kehila
  • Sami Mahjoub
  • Foued Ben Brahim
  • Hatem Rajhi
  • Faouzia Zouari

Keywords:

Genital hematoma, , Post-partum hemorrhagia, Embolisation

Abstract

Objectives: Discuss the clinical aspects and the management of perigenital hematoma, a rare complication of delivery that can engage the vital prognosis.
Cases: 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.
Conclusion: 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.

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References

Sadoul G. Traumatismes des voies génitales basses et du périnée consécutifs à l'accouchement. Encycl Med Chir Paris, France, Urgences 1986;24213 A10 7:5 p.

Riethmuller D, Pequegnot-Jeannin C, Rabenja CA, Koeberle Ph, Schaal JP, Maillet R. Une cause rare d'hémorragie du post-partum : le thrombus génital. J Gynecol Obstet Biol Reprod 1997; 26 : 154-158.

Jacquetin B, Boulleret C, Fatton B. Thrombus génitaux. In: CNGOF. Mises à jour en gynécologie obstétrique tome XXII, 1998:347.

Pelage JP, Laissy JP. Prise en charge des hémorragies graves du post-partum : indications et techniques de l'embolisation artérielle. J Radiol 2006;87:533-40.

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Published

2010-02-17