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

被引：1
|
作者：
Kurakula, Sowjanya [1 ,2 ,3 ,4 ]
Muralidharan, Vandana [5 ]
Navya, N. [6 ]
Kompella, Abhijna Rao [7 ]
Gayathri, B. K. B. [8 ,9 ]
机构：
[1] Mamta Inst Med Sci, Obstet & Gynecol, Khammam, India
[2] Sekgoma Mem Hosp, Obstet & Gynecol, Serowe, Botswana
[3] Nyangabgwe Referral Hosp, Obstet & Gynecol, Francistown, Botswana
[4] Gandhi Med Coll, Obstet & Gynecol, Musheerabad, India
[5] Lifeline Med Associates, Obstet & Gynecol, Florham Pk, NJ USA
[6] Rainbow Childrens Hosp & Birthright, Obstet & Gynecol, Bengaluru, India
[7] Srinivasa Matern & Nursing Home, Obstet & Gynecol, Hyderabad, India
[8] Gayathri Bhargav Hosp, Obstet & Gynecol, Vijayawada, India
[9] Dr Pinnamaneni Siddhartha Inst Med Sci & Res Fdn, Obstet & Gynecol, Vijayawada, India
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2023年 / 15卷 / 06期
关键词：
grand multipara; unscarred uterus; broad ligament hematoma; silent rupture uterus; case report; DELIVERY; RUPTURE; UTERUS;
D O I：
10.7759/cureus.40120
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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.
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页数：5
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