Skip to main content
SpringerLink
Log in
Book cover

Labour Room Emergencies pp 395–402Cite as

Broad Ligament Haematoma

  • Chapter
  • First Online:

Abstract

Broad ligament haematoma is one of the important emergencies faced in labour room with variable incidence between 1:500 and 1:20,000. It occurs due to obstetric trauma (lacerations/tear) 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 haemorrhage following delivery raises the suspicion. If not diagnosed in time, it can have fatal progress leading to maternal mortality. The definitive treatment of broad ligament haematomas is variable according to size, location and severity of patient. Thus strong clinical suspicion, prompt diagnosis and timely intervention are the important factors for successful treatment.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Fliegner JR. Postpartum broad ligament haematomas. J Obstet Gynaecol Br Commonw. 1971;78:184–9.

    Article  CAS  Google Scholar 

  2. Hankins G, Zahn C. Puerperal haematomas and lower genital tract lacerations. In: Hankins G, et al., editors. Operative obstetrics. Norwalk, CT: Appleton and Lange; 1995. p. 57–72.

    Google Scholar 

  3. Cheung TH, Chang A. Puerperal haematomas. Asia-Oceania J Obstet Gynaecol. 1991;17:119–23.

    Article  CAS  Google Scholar 

  4. Williams JW. Subperitoneal hematoma following labor not associated with lesions of the uterus. Trans Am Gynecol Soc. 1904;29:186.

    Google Scholar 

  5. Addo V, Kokroe FA, Reindorf RL. Broad ligament haematoma following a Snake Bite. Ghana Med J. 2009;43:181–2.

    CAS  PubMed  PubMed Central  Google Scholar 

  6. Mirza FG, Gaddipati S. Obstetric emergencies. Semin Perinatol. 2009;33:97–103.

    Article  Google Scholar 

  7. Edmonds K. Dewhurst’s textbook of obstetrics and gynecology. 6th ed. London: Blackwell Science; 1999.

    Google Scholar 

  8. Mawhinney S, Holman R. Practice points puerperal genital haematoma: a commonly missed diagnosis. Obstet Gynaecol. 2007;9:195–200.

    Google Scholar 

  9. Bloom AI, Verstandig A, Gielchinsky Y, Nadiari M, Elchalal U. Arterial embolisation for persistent primary postpartum haemorrhage: before or after hysterectomy? BJOG. 2004;111:880.

    Article  Google Scholar 

  10. Badawy SZA, Etman A, Singh M, Murphy K, Mayelli T, Philadelphia M. Uterine artery embolization: the role in obstetrics and gynecology. Clin Imaging. 2001;25:288–95.

    Article  CAS  Google Scholar 

  11. Dildy GA 3rd. Postpartum haemorrhage: new management options. Clin Obstet Gynecol. 2002;45:330–44.

    Article  Google Scholar 

  12. Salomon LJ, deTayrac R, Castaigne-Meary V, Audibert F, Musset D, Ciorascu R, et al. Fertility and pregnancy outcome following pelvic arterial embolization for severe post-partum haemorrhage. A cohort study. Hum Reprod. 2003;18:849–52.

    Article  CAS  Google Scholar 

  13. Brown BJ, Heaston D, Poulson AM. Uncontrollable postpartum bleeding: a new approach to haemostasis through angiographic arterial embolization. Obstet Gynecol. 1979;54(3):361–5.

    CAS  PubMed  Google Scholar 

  14. Heffner LJ, Mennuti MT, Rudoff JC, McLean GK. Primary management of postpartum vulvovaginal haematomas by angiographic embolization. Am J Perinatol. 1985;2(3):204–7.

    Article  CAS  Google Scholar 

  15. Chin HG, Scott DR, Resnik R, Davis GB, Lurie AL. Angiographic embolization of intractable puerperal haematomas. Am J Obstet Gynecol. 1989;160(2):434–8.

    Article  CAS  Google Scholar 

  16. Villella J, Garry D, Levine G, Glanz S, Figueroa R, Maulik D. Postpartum angiographic embolization for vulvovaginal haematoma: a report of two cases. J Reprod Med Obstet. 2001;46:65–7.

    CAS  Google Scholar 

  17. Bienstman-Pailleux J, Huissoud C, Dubernard G, Rudigoz RC. Management of puerperal haematomas. J Gynecol Obstet Biol Reprod (Paris). 2009;38:203–8.

    Article  CAS  Google Scholar 

  18. Goodwin SC, Walker WJ. Uterine artery embolization for the treatment of uterine fibroids. Curr Opin Obstet Gynecol. 1998;10(4):315–20.

    Article  CAS  Google Scholar 

  19. Doumouchtsis SK, Papageorghiou AT, Arulkumaran S. Systematic review of conservative management of postpartum haemorrhage: what to do when medical treatment fails. Obstet Gynecol Surv. 2007;62:540–7.

    Article  Google Scholar 

  20. Sentilhes L, Gromez A, Clavier E, Resch B, Verspyck E, Marpeau L. Predictors of failed pelvic arterial embolization for severe postpartum haemorrhage. Obstet Gynecol. 2009;113:992–9.

    Article  Google Scholar 

  21. Dahdouh EM, Balayla J, Dube J. Angiographic embolization of a postpartum vulvovaginal haematoma in a patient with situs inversus totalis: an effective second line treatment. Case Rep Obstet Gynecol. 2013;2013:323781.

    PubMed  PubMed Central  Google Scholar 

  22. Benrubi G, Neuman C, Nuss RC, Thompson RJ. Vulvar and vaginal haematomas: a retrospective study of conservative versus operative management. South Med J. 1987;80(8):991–4.

    Article  CAS  Google Scholar 

  23. South Australian Perinatal Practice Guidelines. Puerperal genital haematomas. Adelaide: Dept of Health, Govt of South Australia; 2012.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. MIMER Medical College, Pune, Maharashtra, India

    Vaishali Korde-Nayak

  2. Biniwale Clinic, Pune, Maharashtra, India

    Parag Biniwale

Authors
  1. Vaishali Korde-Nayak
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Parag Biniwale
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Civil Hospital, Mandi, Himachal Pradesh, India

    Alok Sharma

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Korde-Nayak, V., Biniwale, P. (2020). Broad Ligament Haematoma. In: Sharma, A. (eds) Labour Room Emergencies. Springer, Singapore. https://doi.org/10.1007/978-981-10-4953-8_41

Download citation

  • DOI: https://doi.org/10.1007/978-981-10-4953-8_41

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-4952-1

  • Online ISBN: 978-981-10-4953-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation