Document Detail


Transarterial embolization of a nonpuerperal traumatic vulvar hematoma.
MedLine Citation:
PMID:  18683573     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nonpuerperal traumatic vulvar hematomas are relatively uncommon. Conservative and surgical management are the usual treatment options for traumatic vulvar hematomas. There is no report of transarterial embolization of nonpuerperal traumatic vulvar hematoma. We report a 35-year-old woman who presented with a vulvar hematoma caused by an accidental fall on a toy of her child. The hematoma was expanding and was refractory to conservative treatment. A computed tomography (CT) scan revealed active extravasation of contrast material from the left internal pudendal artery. We performed transarterial embolization of the left internal pudendal artery. The left external pudendal artery, which had an anastomosis with the left internal pudendal artery, was also embolized. Postembolization angiography demonstrated no further extravasation of contrast material. We believe that transarterial embolization can be an effective treatment of nonpuerperal traumatic vulvar hematomas when conservative treatment fails.
Authors:
Kanako Kunishima; Hidemasa Takao; Nobuyuki Kato; Shinichi Inoh; Kuni Ohtomo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Radiation medicine     Volume:  26     ISSN:  0288-2043     ISO Abbreviation:  Radiat Med     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-08-07     Completed Date:  2008-09-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412264     Medline TA:  Radiat Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  168-70     Citation Subset:  IM    
Affiliation:
Department of Radiology, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan. kunishima-tky@umin.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls
Adult
Angiography
Embolization, Therapeutic*
Female
Hematoma / etiology,  radiography,  therapy*
Humans
Tomography, X-Ray Computed
Vulva / blood supply*,  injuries*

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