A case of spontaneous hematoma of the vulva with infection and review of relevant literature
Objective To report the diagnosis and treatment of a case of spontaneous vulvar haematoma due to autoimmune disease and to review relevant literature.Methods The clinical data of 1 case of spontaneous vulvar hematoma associated with immunity were retrospectively analyzed,and the relevant literatures at home and abroad were reviewed to analyze the pathogenesis,diagnosis and differential diagnosis,treatment and related matters for attention.Results This case was a spontaneous vulvar haematoma caused by allergic purpura.The patient was misdiagnosed at the time of admission due to the similarity of symptoms with vestibular gland abscess and underwent surgery after ineffective conservative treatment,and the diagnosis was clarified by combining intraoperative observation and detailed questioning of medical history.Conclusion Spontaneous vulvar haematoma has a low incidence in clinical practice and is prone to misdiagnosis and mistreatment.Emphasis should be placed on detailed history and physical examination to improve diagnostic ability and avoid delayed treatment,which may result in unnecessary injury to the patient.
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