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Abstract
L’hématome vulvaire non obstétrical est rare mais potentiellement grave. Les auteurs rapportent le cas d’un hématome vulvaire massif chez une adolescente de 17 ans suite à un rapport sexuel atypique mais librement consenti. Ce cas pose la problématique des conséquences possibles de l’intrusion des nouvelles pratiques sexuelles en milieu jeune et la particularité de la prise en charge médicale, chirurgicale et psychosociale relative à l’attitude de l’adolescente d’une part et des parents d’autre part en contexte camerounais. Il relève également les limites du traitement conservateur des grands hématomes vulvaires.
ABSTRACT
Non obstetric vulvar hematoma constitutes a rare condition. It usually results from blunt trauma. We report a case of massif vulvar hematoma in a 17 years old teenager following a vigorous intercourse with a known partner. In case of massif hematoma, conservative management may not be successful. This case demonstrates teen sex complications due to atypical sexual practice and difficulties for physician to deal with dual medical and psychological obligations with regards to the attitude of teenagers and their parents.
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References
- Références
- - Dash S, Verghese J, Nizami DJ, Awasthi RT, Jaishi S, Sunil M. Severe haematoma of the vulva: A report of two cases and a clinical review. Kathmandu University Medical Journal 2006; Vol.4, N°2, Issue 14: 228-231.
- - Rabinerson D, Fradin Z, Zeidman A, Horowitz E.Vulvar hematoma after cunnilingus in a teenager with essential thrombocythemia: a case report. J Reprod Med. 2007 May; 52 (5):458-9.
- - Narayam Jana, Debjyoti Santra, Debasis Das, Amindya K. Das, Subhendu Dasgupta. Nonobstetric lower genital tract injuries in rural India. Internationnal Journal of Gynecolgy & Obstetrics October 2008; 103 (1): 26-29.
- - Sloin MM. Treating coital injury. Osteopath Physician. 1976; 46:75 –82.
- - Sau AK, Dhar KK, Dhall GI. Nonobstetric lower genital tract trauma. Aust N Z Obstet Gynaecol. 1993;33:433 –435.
- - Ahnaimugan S, Asuen MI. Coital laceration of the vagina. Aust N Z Obstet Gynaecol. 1980; 20:180 –181.
- - Wilson F, Swartz DP. Coital injuries of the vagina. Obstet Gynecol. 1972; 39:182 –184.
- - Singhal VP, Neelam, Harjit K Ankur, Kaur Pradeep, Katiyar Nidhi. Traumatic massive vulval hematoma. International Journal of Gynae Plastic Surgery November 2010; 2 (2): 35-37.
- - Marvin M. Sloin, Mersedeh Karimian, Pedram Ilbeigi. Non obstetric lacerations of the Vagina. Am Osteopath Assoc May 1, 2006 vol. 106 no. 5 271-273
- - Elong ngono S. (1988) Droits des malades et certificats médicaux. Les problèmes professionnels. In : Eléments pratiques de médecine légale et d’expertise médicale. Imp. COREP-Toulouse. p71-187.
- - Villella J, Garry D, Levine G, Glanz S,Figueroa R, Maulik D . Postpartum angiographic embolization for vulvovaginal hematoma. A report of two cases. J Reprod Med. 2001 Jan; 46(1):65-7.
References
Références
- Dash S, Verghese J, Nizami DJ, Awasthi RT, Jaishi S, Sunil M. Severe haematoma of the vulva: A report of two cases and a clinical review. Kathmandu University Medical Journal 2006; Vol.4, N°2, Issue 14: 228-231.
- Rabinerson D, Fradin Z, Zeidman A, Horowitz E.Vulvar hematoma after cunnilingus in a teenager with essential thrombocythemia: a case report. J Reprod Med. 2007 May; 52 (5):458-9.
- Narayam Jana, Debjyoti Santra, Debasis Das, Amindya K. Das, Subhendu Dasgupta. Nonobstetric lower genital tract injuries in rural India. Internationnal Journal of Gynecolgy & Obstetrics October 2008; 103 (1): 26-29.
- Sloin MM. Treating coital injury. Osteopath Physician. 1976; 46:75 –82.
- Sau AK, Dhar KK, Dhall GI. Nonobstetric lower genital tract trauma. Aust N Z Obstet Gynaecol. 1993;33:433 –435.
- Ahnaimugan S, Asuen MI. Coital laceration of the vagina. Aust N Z Obstet Gynaecol. 1980; 20:180 –181.
- Wilson F, Swartz DP. Coital injuries of the vagina. Obstet Gynecol. 1972; 39:182 –184.
- Singhal VP, Neelam, Harjit K Ankur, Kaur Pradeep, Katiyar Nidhi. Traumatic massive vulval hematoma. International Journal of Gynae Plastic Surgery November 2010; 2 (2): 35-37.
- Marvin M. Sloin, Mersedeh Karimian, Pedram Ilbeigi. Non obstetric lacerations of the Vagina. Am Osteopath Assoc May 1, 2006 vol. 106 no. 5 271-273
- Elong ngono S. (1988) Droits des malades et certificats médicaux. Les problèmes professionnels. In : Eléments pratiques de médecine légale et d’expertise médicale. Imp. COREP-Toulouse. p71-187.
- Villella J, Garry D, Levine G, Glanz S,Figueroa R, Maulik D . Postpartum angiographic embolization for vulvovaginal hematoma. A report of two cases. J Reprod Med. 2001 Jan; 46(1):65-7.