Case presentation A 44-year-old woman was admitted to the emergency department with intense genital pain after falling down the stairs in her house and having a contusion in the vulvar region. She was treated with pregabalin and mirtazapine for generalized anxiety disorder. She referred to the gynecological emergencies on a trolley as she could not walk.
She showed no improvement after intramuscular administration of anti-inflammatory drugs. Medical examination Swollen area of approximately 10 × 5 cm on the entire right vulvar area Labia displaced to the left and a fluctuating lump on the interlabial sulcus suggesting a large subcutaneous fluid collection Edema of the entire area of the pubic symphysis, from the vulvar region to the mons pubis No occurrence of the skin or mucosal wounds or vaginal bleeding Difficulty in the vaginal examination due to high pain severity Figure 1.…
