What is the cause of increased perineal pain in a postpartum woman with a history of spontaneous vaginal delivery, second-degree perineal laceration repair, and current symptoms of perineal edema and tenderness, particularly with voiding, 8 hours after delivery?

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Differential Diagnosis for Postpartum Perineal Pain

  • Single most likely diagnosis
    • Hematoma: The patient's symptoms of increasing perineal pain, particularly with voiding, and the presence of a tender perineal laceration repair are consistent with a hematoma. The edema of the perineum and labia majora also supports this diagnosis.
  • Other Likely diagnoses
    • Urinary Retention: The patient's pain with voiding could be indicative of urinary retention, which is a common issue postpartum, especially after a prolonged second stage of labor and perineal trauma.
    • Infection (early signs): Although the patient does not have a fever and there is no purulent drainage, early signs of infection could present with increased pain and tenderness, especially if the laceration repair is not healing as expected.
    • Perineal swelling or edema: The patient's perineal and labial edema could be contributing to her pain, especially if the swelling is significant.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed)
    • Necrotizing Fasciitis: Although rare, this condition is life-threatening and can present with severe pain out of proportion to the physical examination findings, making it crucial not to miss.
    • Septic Pelvic Thrombophlebitis: This condition is a rare but serious complication that can occur postpartum, presenting with pain and possibly fever, and requires prompt diagnosis and treatment.
  • Rare diagnoses
    • Perineal abscess: While possible, especially if there was a complication with the laceration repair, the absence of purulent drainage and fever makes this less likely at this stage.
    • Compartment Syndrome: This is a rare condition that could occur due to increased pressure within the perineal compartments, leading to severe pain and potentially serious complications if not addressed promptly.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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