Ngatia, J.W.2015-12-142015-12-142015East and Central Africa Medical Journal 2015; 2(2): 104-1052078-5909http://ir-library.ku.ac.ke/handle/123456789/13980Journal Articles scanned from a hard copy of the East and central Africa medical journalThe rich vascular upply to the vulva places it at risk for bleeding from trauma. Vulval haernatornas are the most common sequelae. In adult women, the labia majora are comprised of large fat pads, which act to protect the vulva against injury. In contrast, children lack welldeveloped fat pads in this area and often engage in play activities predisposing them to vulval trauma; thus, they are more likely to sustain vulval injuries than adults eg "Straddle injuries" [1-4]. The case presented was of traumatic sex with vulval haemorhage and haernatoma formation. It was successfully managed by surgical evacuation, ligation of the bleeding sites, and use of antibiotics and analgesics.enCoitusVulval haernatornaLacerationsArticle