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Gynaecology & Obstetrics General e8285e79

25 year old female patient is referred from a PHC with history of expanding vulvar mass, during first hour post partum. She delivered normally and without perineal laceration. She complains of severe pain. On examination her BP is 90/40 mmHg, pulse = 130bpm and no fever. what is your approach in treatment of patient

A
Ice packs placed and plan observation.
B
Angiographic embolization of supra levator hematoma.
C
Incise the point of maximum expansion, evacuate clots, and ligate bleeding points.
D
Laparotomy to evacuate retroperitoneal hematoma as it is connected to ischioanal fossa.
High-Yield Explanation
Severe pain and expanding hematoma are indication of immediate surgical exploration.

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