PMC6815487_01
Right necrotic vulva hematoma
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At the perineum, there was a large swelling on the right labia majora, measuring 7x6 cm, necrotic, tender and tense, a vaginal examination was not possible (Figure 1).
After resolution of Hematoma
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Vaginal examination/exploration and debridement were done under local anaesthesia and a packed dressing was done (Figure 2).
PMC6815487_02
Right vulvar haematoma
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There was a large swelling on left labia majora 9x7 cm, tense, tender with no skin discoloration (Figure 3).
After resolution of hematoma
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The wound was packed and there was no further bleeding until 12 hours later when the dressing was removed (Figure 4).