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

Correct Answer: Incise the point of maximum expansion, evacuate clots, and ligate bleeding points.
Description: Severe pain and expanding hematoma are indication of immediate surgical exploration.
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