Perigenital hematoma. Diagnosis and management]

Discuss the clinical aspects and the management of perigenital hematoma, a rare complication of delivery that can engage the vital prognosis.We report 4 cases of peri-genital hematomas recorded in the department C of obstetrics and gynecology, in the maternity center of Tunis. In two cases, the patients had only medical treatment and in the two others arterial embolisation was performed.The diagnosis is evoked in front of an unexplained hemorrhagic choc with perineal pain. Upon diagnosis, the patient must be rapidly managed associating resuscitation, surgery and angiographic embolisation.