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.
KeywordsSupralevator haematoma Broad ligament haematoma Retroperitoneal haematoma Postpartum haemorrhage (PPH) Bilateral internal iliac ligation Selective arterial embolization
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