Broad ligament hematoma after normal vaginal delivery: a rare case scenario

Authors

  • Mequanent T. Adow Department of Obstetrics and Gynecology, College of Health Science, Debretabor University, Debretabor, Ethiopia
  • Nebso G. Gechu Department of Obstetrics and Gynecology, College of Health Science, Arbaminch University, Arbaminch, Ethiopia
  • Dereje T. Eshete Department of Obstetrics and Gynecology, College of Medicine and Health Science, Hawassa University, Hawassa, Ethiopia
  • Amanu G. Siraneh Department of Clinical Anaesthesia, College of Medicine and Health Science, Hawassa University, Hawassa, Ethiopia

DOI:

https://doi.org/10.18203/issn.2454-2156.IntJSciRep20212397

Keywords:

Broad ligament hematoma, Hysterectomy, Normal vaginal delivery, Uterine artery ligation

Abstract

Broad ligament hematoma is a very rare complication following normal vaginal delivery. This article reports broad ligament hematoma following normal vaginal delivery in a 25 years old para 2 still birth 1 woman after 3 hours of delivery. Based on clinical and transabdominal ultrasound examination broad ligament hematoma was diagnosed. She was on conservative management for 36 hours after confirming the diagnosis. Later, she developed symptoms of anemia and transabdominal ultrasound showed expanding hematoma and minimal hemoperitoneum. Surgical intervention decided and total hysterectomy was performed.

Metrics

Metrics Loading ...

References

Bhansakarya R, Subedi S. Broad Ligament Hematoma Following Vaginal Delivery–A Rare Entity. J Nobel Med Coll. 2019;8(1):63-5.

Saleem N, Ali HS, Irfan A, Afzal B. Broad ligament haematoma following a vaginal delivery in primigravida. Pak J Med Sci. 2009;25(4):683-5.

Cunningham F, Leveno KG. Williams obstetrics. 24th edition. McGraw-Hill Education. 2014.

Edmonds K. Dewhurst's textbook of obstetrics and gynaecology for postgraduates. Wiley-Blackwell. 1999.

Bankada V, Purra P, Ningappa AM, Jirankal S. A Rare Case of Bilateral Broad Ligament Haematoma in Twin Pregnancy. J Clin Diagn Res. 2015;9(10):QD03-5.

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

Yalla D, Nadar AN, Rani GU. Spontaneous broad ligament haematoma following a normal vaginal delivery: a case report. Int J Reprod Contracept Obstet Gynecol. 2011;7(6):2522.

Kovo M, Eshed I, Malinger G. Broad ligament hematoma following a normal vaginal delivery. Gynecol Surg. 2006;3(2):138.

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

Downloads

Published

2021-06-22

Issue

Section

Case Reports