A vulvar hematoma is a collection of blood in the vulva. The vulva is soft tissue mainly composed of smooth muscle and loose connective tissue and is supplied by branches of the pudendal artery. Although it is a common obstetric complication, a vulvar hematoma can occur in non-obstetric settings too. Other types of puerperal genital hematomas include paravaginal, vulvovaginal, or subperitoneal hematomas. Perineal pain is the hallmark symptom that should prompt clinicians to examine the patient for a suspected puerperal genital hematoma. Early recognition is paramount in reducing the associated morbidity, improving patient outcomes, and shortening the length of hospital stay.
Oong GC, Eruo FU. Vulvar hematoma. 2023 Aug 8. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 32809588.