Puerperal vulvovaginal hematoma: Sonographic findings with MRI correlation

Puerperal hematomas are a major complication of delivery. Little information about the role of sonography in the management of puerperal hematomas is available in the English literature. We report a case of a vulvovaginal hematoma that developed subsequent to vaginal delivery and that was managed conservatively using sonography. Our report includes the sonographic follow‐up of the lesion with MRI correlation. The present case report suggests that sonography has a role in the detection and follow‐up of the condition, with MRI providing a more detailed mapping of the lesion and excluding any retroperitoneal involvement. © 2004 Wiley Periodicals, Inc. J Clin Ultrasound 32:415–418, 2004