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{
    "pk": 1152,
    "title": "Vaginal Swelling After Intercourse: A Case Report",
    "subtitle": null,
    "abstract": "Introduction: \nA vulvar hematoma is a hemorrhagic fluid collection in the female external genitalia. The majority occur as an obstetrical complication, especially during labor. Non-obstetrical vulvar hematomas are usually the result of trauma, with coitus being the most common etiology.\nCase Report:\n We present the case of a 25-year-old woman with significant vaginal pain and swelling after vigorous sexual intercourse. She exhibited tenderness and swelling of the left labia majora and minora. The differential diagnosis included bleeding, abscess, and deep venous thrombosis. Laboratory studies were normal and computed tomography of the pelvis indicated the swelling was most likely due to blood. The patient was taken to the operating room, and approximately 150 cubic centimeters of clot was evacuated. The patient had an uneventful recovery and was discharged home the next day.\nConclusion:\n This case illustrates the unique presentation and challenges in making the diagnosis of vulvar hematoma.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "vaginal swelling"
        },
        {
            "word": "vulvar hematoma"
        },
        {
            "word": "labia majora"
        },
        {
            "word": "labia minora"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/3p75r2vp",
    "frozenauthors": [
        {
            "first_name": "Michael",
            "middle_name": "J.",
            "last_name": "Bono",
            "name_suffix": "",
            "institution": "Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia; Emergency Physicians of Tidewater, Norfolk, Virginia",
            "department": "None"
        },
        {
            "first_name": "Dylan",
            "middle_name": "M.",
            "last_name": "Woolum",
            "name_suffix": "",
            "institution": "Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia",
            "department": "None"
        },
        {
            "first_name": "A.",
            "middle_name": "Shirley",
            "last_name": "Jones",
            "name_suffix": "",
            "institution": "Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia",
            "department": "None"
        },
        {
            "first_name": "Francis",
            "middle_name": "L.",
            "last_name": "Counselman",
            "name_suffix": "",
            "institution": "Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia; Emergency Physicians of Tidewater, Norfolk, Virginia",
            "department": "None"
        }
    ],
    "date_submitted": "2022-04-26T03:42:55Z",
    "date_accepted": "2022-04-26T03:42:55Z",
    "date_published": "2022-04-26T03:43:39Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1152/galley/892/download/"
        }
    ]
}