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9091 Gynaecology & Obstetrics

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

AIce packs placed and plan observation.
BAngiographic embolization of supra levator hematoma.
CIncise the point of maximum expansion, evacuate clots, and ligate bleeding points.
DLaparotomy to evacuate retroperitoneal hematoma as it is connected to ischioanal fossa.
Gynaecology & Obstetrics
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