Extensive Vulvar Hematoma as a Complication of Labiaplasty: A Case Report

Abstract

Vulvar hematoma is an extremely rare complication outside obstetric practice. Owing to the vulvar structure and its rich blood supply, hematoma can reach an enormous size over a short period. Although direct trauma is the anesthetic 31-year-old nullipara admitted for acute massive vulvar swelling as a complication of labiaplasty. She scored 10 on the pain scale. Upon admission to the emergency department, she had normal vital signs and was immediately started on intravenous acetaminophen and prophylactic antibiotics. The patient was subsequently transferred to the operating theater for examination and drainage of the hematoma under anesthesia. Reconstruction of the labia was performed. The patient had a smooth postoperative course and was discharged on the 3rd postoperative day. We concluded that Anesthetic gynecological procedures, although categorized as minor, can result in grave sequelae, and must therefore be performed in a hospital set-up.