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A woman suffered a terrible vaginal injury after being ejected from a jet ski and landing directly on her handlebars.
The 25-year-old woman was found with a large blood clot on the vulva that continued to swell and needed to be surgically drained.
She was suffering so much that by the time she saw doctors in a New York hospital three days later, she could barely walk.
According to the case report published in the British Medical Journal, the unidentified woman immediately went to the emergency room after the terrible accident.
But the hematoma continued to develop slowly and three days later, in July 2018, she sought a second opinion from Professional Brooklyn Gynecological Services.
There, she told a doctor that she had been thrown from her jet ski and that she had landed on her handlebars.
Unsustainable pain
They discovered that she had suffered a large vulval hematoma – a collection of blood vessels coagulated on the outer part of her genitals, measuring 12 cm.
She had excruciating pain and the doctors made the decision to drain the wound surgically.
Dr. Amir Marashi, who looked after the woman in her Brooklyn clinic, told DailyMail.com: "It was like having almost a grapefruit between her legs."
"It was a hematoma big enough, very deep and she could not walk around."
The woman was concerned about the presence of permanent scars on her private parts. The procedure was therefore performed intravaginally rather than externally.
The gynecologist made an incision at the finest point of the hematoma on the left flank of the vagina, in order to relieve the pressure exerted on the wound and reduce swelling.
She was then stitched using five stitches with holes to allow the clot to drain safely.
Scarred scar
The woman, writing in the case report, said, "When I noticed the swelling on the outside of my vagina, I was scared. I was worried that my vagina would never be the same again.
"The pain, pressure and discomfort were unbearable and so I asked for a second opinion.
"With the failure of conservative treatment, I felt I was headed for surgery, which made me more and more anxious. I was afraid to leave scars on my private parts permanently.
"The doctor understood my concern about external scars and assured me that he would try to drain the hematoma from inside the vagina. After the operation, I felt immediate relief and the healing process went off without incident. "
"I was pleasantly surprised because my vagina seemed to have never gone past. I am grateful to my doctor for being aware of the aesthetic result of his surgical approach and I am happy not to live with a scarred vagina for the rest of my life.
Hematomas occur when blood vessels rupture, usually during an injury and blood accumulates in nearby tissues.
A vulvar hematoma occurs when blood accumulates in the vulva – the outer part of the female genitals – and is very rare, with an incidence rate of about 3.7%.
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