Incidental Finding of a Broad Ligament Hematoma During Tubal Ligation Surgery: A Case Report and Literature Review.

broad ligament hematoma case report grand multipara silent rupture uterus unscarred uterus

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Jun 2023
Historique:
accepted: 08 06 2023
medline: 10 7 2023
pubmed: 10 7 2023
entrez: 10 7 2023
Statut: epublish

Résumé

A silent rupture of an unscarred uterus is a rare phenomenon. Accidental diagnosis of silent rupture during sterilization procedure in a previous vaginal delivery is rarely reported. We present a case of uterine rupture in an unscarred uterus in a 40-year-old gravida 10 para 9 with intrauterine fetal demise terminated with prostaglandin E2. She was asymptomatic and hemodynamically stable. Hemoperitoneum was observed during a tubal ligation procedure performed on the third day after the abortion. A right-sided broad ligament hematoma was noticed, and surgical treatment was initiated when the patient's condition clinically deteriorated during the operation. Our article aims to raise obstetricians' awareness of an important causative factor of hemoperitoneum found during postpartum tubal ligation surgery.

Identifiants

pubmed: 37425572
doi: 10.7759/cureus.40120
pmc: PMC10329410
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e40120

Informations de copyright

Copyright © 2023, Kurakula et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

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Auteurs

Sowjanya Kurakula (S)

Obstetrics and Gynecology, Mamta Institute of Medical Sciences, Khammam, IND.
Obstetrics and Gynecology, Sekgoma Memorial Hospital, Serowe, BWA.
Obstetrics and Gynecology, Nyangabgwe Referral Hospital, Francistown, BWA.
Obstetrics and Gynecology, Gandhi Medical College, Musheerabad, IND.

Vandana Muralidharan (V)

Obstetrics and Gynecology, Lifeline Medical Associates, New Jersey, USA.

Navya N (N)

Obstetrics and Gynecology, Rainbow Children's Hospital and Birthright, Bengaluru, IND.

Abhijna Rao Kompella (AR)

Obstetrics and Gynecology, Srinivasa Maternity and Nursing Home, Hyderabad, IND.

Gayathri B K B (GB)

Obstetrics and Gynecology, Gayathri Bhargav Hospital, Vijayawada, IND.
Obstetrics and Gynecology, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences & Research Foundation, Vijayawada, IND.

Classifications MeSH