Perigénital hematoma. Diagnosis and management

##plugins.themes.academic_pro.article.sidebar##

Published Feb 17, 2010
Download
pdf
Vol. 88 No. 2 (2010): Issue Feb 2010

##plugins.themes.academic_pro.article.main##

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

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.

Keywords:

Genital hematoma, , Post-partum hemorrhagia, Embolisation

##plugins.themes.academic_pro.article.details##

References

  1. 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.
  2. 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.
  3. Jacquetin B, Boulleret C, Fatton B. Thrombus génitaux. In: CNGOF. Mises à jour en gynécologie obstétrique tome XXII, 1998:347.
  4. 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.