Spontaneous broad ligament haematoma following a normal vaginal delivery: a case report

Authors

  • Dheeraj Yalla Department of Obstetrics and Gynecology, Sri Ramachandra Medical College, Chennai, Tamil Nadu, India
  • Alka N. Nadar Department of Obstetrics and Gynecology, Sri Ramachandra Medical College, Chennai, Tamil Nadu, India
  • G. Usha Rani Department of Obstetrics and Gynecology, Sri Ramachandra Medical College, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20182383

Keywords:

Broad ligament haematoma, Hysterectomy, Normal vaginal delivery

Abstract

Broad ligament haematoma is a rare complication following a normal vaginal delivery. We report one such case of a woman who developed this complication within 3 hrs of normal vaginal delivery. She is G2P1L1, 38 wks GA, in active labour. Pt was allowed for spontaneous progression of labour, following which she delivered vaginally. Within 3 hrs patient looked clinically very pale with vitals being deranged and complains of inability to void urine, severe perineal pain. On basis of clinical examination and transabdominal ultrasound features a diagnosis of right sided broad ligament haematoma was made. Based on patients haemodynamic instability surgical management in the form of obstetric hysterectomy was done.

References

Saleem N, Ali HS, Irfan A, Afzal B. Broad ligament hematoma following a vaginal delivery in primigravida. Pak J Med Sci. 2009;25:683-5.

Holtz RS. Massive hematoma of the broad ligament complicating cesarean section. J Int Coll Surg. 1959 Feb;31(2):188-91.

Addo V, Kokroe FA, Reindorf RL. Broad ligament hematoma following a Snake Bite. Ghana Med J. 2009;43(4):181-2.

Muthulakshmi B, Francis I, Magos A, Roy M, Watkinson A. Broad ligament haematoma after normal delivery. J Obstet Gynaecol. 2003;23:669-70.

Maxwell C, Gawler D, Green J. An unusual case of acute postpartum broad ligament haematoma. Australia N Z J Obstet Gynecol. 1997;37:239-41.

Bose K. A case of massive broad ligament hematoma following normal delivery. Br J Clin Pract. 1963;17:591-4

Edmonds, Dewhurst’s Textbook of Obstetrics & Gynecology. (6thed.), Blackwell Science, London;2011.

Murali R, Hosni MM, Navaneetham N. A Rare Case of Broad Ligament Haematoma 24 Hours after Normal Vaginal Delivery. J Clin Case Rep. 2014;4(7):391.

Chohan A. Fundamentals of Obstetrics. 1st ed. Lahore: M A R Publishers;2005:377.

Jain KA, Olcott EW. Magnetic resonance imaging of postpartum pelvic hematomas: early experience in diagnosis and treatment planning. Magn Reson Imaging. 1999;17:973-7.

Downloads

Published

2018-05-26

Issue

Section

Case Reports