Бывают и такие случаи...

[Doc Vadik]

J Reprod Med. 2007 May;52(5):458-9.

Vulvar hematoma after cunnilingus in a teenager with essential thrombocythemia: a case report.

Rabinerson D, Fradin Z, Zeidman A, Horowitz E.

Department of Obstetrics and Gynecology, Rabin Medical Center, Golda Campus, Petah Tiqval, Israel.

BACKGROUND: Nonobstetric injuries of the female genital tract constitute up to 0.8% of all gynecologic admissions. Approximately 40% of such admissions are due to coital injuries. Vulvar injuries following cunnilingus have been reported only rarely.

CASE: A 17-year-old with known essential thrombocythemia was being treated with low-dose aspirin and presented with a 4-cm vulvar hematoma that occurred during cunnilingus. The hematoma was evacuated uneventfully, with no signs of further bleeding and no patient complaints. As the patient, a minor under Israeli law, wished to conceal the circumstances from her parents, we told them that she had suffered vulvar trauma from the background disease.

CONCLUSION: This case demonstrates an unexpected complication of a necessary treatment for a major disease and the sometimes dual obligation of physicians to their patients and their families.