Literature DB >> 26557572

A Rare Case of Bilateral Broad Ligament Haematoma in Twin Pregnancy.

Vijayalakshmi Bankada1, Pallavi Purra2, Amulya Marikatte Ningappa3, Shankar Jirankal4.   

Abstract

We report a rare case of bilateral broad ligament haematoma in twin pregnancy presented as gravida 3 para 2 living 2 (G3P2A0L2), with undelivered second twin with transverse lie with cord and hand prolapse with obstructed labour referred to our hospital from primary health centre after spontaneous vaginal delivery of first live healthy twin baby four hours later. On examination patient was stable, her investigations were within normal limits and patient was taken up for emergency lower segment caesarian section. Intraoperatively features of obstructed labour were present; a dead term baby was extracted with dichorionic diamniotic placenta. Bilateral broad ligament haematomas approximately of 8x8 cm were noted which were increasing in size after extraction of baby. On both sides haematomas were evacuated and drained along with bilateral uterine artery ligation. Three pints of blood were transfused intra and postoperatively. Her postoperative period was uneventful and the patient was discharged on postoperative day 14.

Entities:  

Keywords:  Hysterectomy; Retroperitoneal haematoma; Uterine artery ligation

Year:  2015        PMID: 26557572      PMCID: PMC4625291          DOI: 10.7860/JCDR/2015/15471.6588

Source DB:  PubMed          Journal:  J Clin Diagn Res        ISSN: 0973-709X


  7 in total

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Authors:  B Muthulakshmi; I Francis; A Magos; M Roy; A Watkinson
Journal:  J Obstet Gynaecol       Date:  2003-11       Impact factor: 1.246

Review 2.  Systematic review of conservative management of postpartum hemorrhage: what to do when medical treatment fails.

Authors:  Stergios K Doumouchtsis; Aris T Papageorghiou; Sabaratnam Arulkumaran
Journal:  Obstet Gynecol Surv       Date:  2007-08       Impact factor: 2.347

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Authors:  V Addo; F A Kokroe; R L Reindorf
Journal:  Ghana Med J       Date:  2009-12

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Authors:  C Maxwell; D Gawler; J Green
Journal:  Aust N Z J Obstet Gynaecol       Date:  1997-05       Impact factor: 2.100

5.  Magnetic resonance imaging of postpartum pelvic hematomas: early experience in diagnosis and treatment planning.

Authors:  K A Jain; E W Olcott
Journal:  Magn Reson Imaging       Date:  1999-09       Impact factor: 2.546

6.  Predictors of failed pelvic arterial embolization for severe postpartum hemorrhage.

Authors:  Loïc Sentilhes; Alexis Gromez; Erick Clavier; Benoît Resch; Eric Verspyck; Loïc Marpeau
Journal:  Obstet Gynecol       Date:  2009-05       Impact factor: 7.661

7.  [Management of puerperal hematomas].

Authors:  J Bienstman-Pailleux; C Huissoud; G Dubernard; R-C Rudigoz
Journal:  J Gynecol Obstet Biol Reprod (Paris)       Date:  2008-11-18
  7 in total

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