Internal pudendal artery embolization for management of a traumatic labial hematoma

Clin Imaging. 2022 Feb:82:166-170. doi: 10.1016/j.clinimag.2021.11.019. Epub 2021 Nov 24.

Abstract

Non-obstetric perineal injuries often occur as a result of blunt trauma from sport or vehicular accidents. Due to the rich vascular supply of the vulva, this region is susceptible to hematoma formation. Traumatic arterial injury usually involves emergency embolization, typically utilizing coils or microspheres. This case describes an incidence of the utilization of gelfoam for temporary embolization to prevent vulvar and labial necrosis in a patient with an actively expanding hematoma.

Keywords: Internal pudendal artery embolization; Labial hematoma; Traumatic vulvar injury; Vulvar hematoma.

MeSH terms

  • Arteries / diagnostic imaging
  • Embolization, Therapeutic*
  • Female
  • Hematoma* / diagnostic imaging
  • Hematoma* / etiology
  • Hematoma* / therapy
  • Humans
  • Pelvis
  • Vulva