Massive Puerperal Vulvovaginal Hematoma Following Vaginal Delivery: A Case Report.

Puerperal hematomas are rare but potentially life-threatening complications of vaginal delivery. They may expand rapidly, causing significant blood loss and hemodynamic instability. We report a case of a massive vulvovaginal hematoma occurring shortly after an apparently uncomplicated vaginal delivery in a 30-year-old multipara, presenting with severe perineal pain and signs of hypovolemia. Prompt surgical exploration with incision, drainage, and ligation of bleeding vessels resulted in complete recovery. This case highlights the importance of early clinical recognition and timely surgical management of puerperal vulvovaginal hematomas, even in the absence of classic risk factors.