A Rare case of huge broad ligament hematoma developing during caeserian section and managed conservatively
Keywords:
Broad ligament haematoma, postpartum haemmorhage, haematomaAbstract
Broad ligament haematoma is one of the most serious emergencies faced in labour room with incidence between 1:500 and 1:20,000. It occurs due to obstetric trauma to the cervix, upper vagina or uterus that extends into uterine or vaginal vessels or vessels of the broad ligament. The diagnosis is usually late as pain is not of a conspicuous nature and so also the vaginal bleeding. Unexplained shock with features of internal hemorrhage following delivery raises the suspicion. If not diagnosed in time, it can prove fatal contributing to maternal mortality. The definitive treatment of broad ligament hematomas is variable according to size, location and severity of patient. Thus, strong clinical acumen is required for immediate diagnosis. Timely intervention is one of the important factors for successful treatment. Here we report a rare case of huge Broad Ligament Hematoma developed during Caesarean Section and managed conservatively.
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References
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