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Title: Vulvar hematoma secondary to spontaneous rupture of the internal iliac artery: clinical review.
Authors: Egan, Eleanor;Dundee, Philip;Lawrentschuk, Nathan L
Affiliation: Urology Unit, Department of Surgery, University of Melbourne, Austin Hospital, Victoria, Australia
Issue Date: 1-Jan-2009
Citation: American Journal of Obstetrics and Gynecology; 200(1): e17-8
Abstract: Vulvar hematomas occur rarely outside the obstetric population but may present after other trauma to the pelvis or perineum. Spontaneous rupture of the internal iliac artery is described mostly in the presence of an aneurysm, with atherosclerosis, connective tissue disease, infection, and trauma as causative factors. It most often presents with abdominal pain and neurologic or urologic symptoms. We present an unusual case of a spontaneous rupture of the internal iliac artery that presented as a vulvar hematoma in a nulliparous woman that was successfully treated with selective arterial embolization and surgical evacuation. The literature is reviewed and management options discussed.
Internal ID Number: 19121653
DOI: 10.1016/j.ajog.2008.09.024
Type: Journal Article
Subjects: Adult
Embolization, Therapeutic
Iliac Artery
Rupture, Spontaneous.pathology
Appears in Collections:Journal articles

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