A nonpuerperal traumatic vulvar hematoma.

A case is presented where a nonpuerperal traumatic vulvar hematoma was initially mistaken for a Bartholin's gland duct abscess. Since the treatment may be different, the importance of clinical differentiation between these two entities is stressed. Proper management of the vulvar hematomas involves bed rest, close observation, and early surgical intervention only when absolutely necessary. Patients with significant vulvar hematomas should be hospitalized and closely followed.