Related Experiment Video
Updated: Feb 20, 2026
05:21
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
555
Broad Ligament Haematoma Following Normal Vaginal Delivery
Faiza Ibrar1, Azra Saeed Awan1, Touseef Fatima1
1Department of Obstetrics & Gynaecology, Foundation University Medical College, Fauji Foundation Hospital, Rawalpindi, Pakistan.
Journal of Ayub Medical College, Abbottabad : JAMC
|October 28, 2017
Summary
A postpartum patient developed severe abdominal distention and vomiting, initially suspected as a broad ligament hematoma. Surgical exploration revealed a pseudo-obstruction of the colon, successfully managed with a caecostomy, saving the patient's life.
Area of Science:
- Obstetrics and Gynecology
- Gastroenterology
- Surgical Case Report
Background:
- Postpartum complications can present with diverse and severe symptoms.
- Abdominal distention and vomiting require prompt and accurate diagnosis in the postpartum period.
Observation:
- A 37-year-old multiparous woman presented with abdominal distention, vomiting, and constipation three days after a normal vaginal delivery.
- Imaging revealed a complex pelvic mass, ascites, pleural effusion, and dilated bowel loops.
- Initial clinical diagnosis suggested broad ligament hematoma, but symptoms indicated possible intestinal obstruction.
Findings:
- Exploratory laparotomy identified a pseudo-obstruction of the colon.
- A caecostomy was performed as the surgical intervention.
Implications:
- This case highlights the importance of considering intestinal obstruction in postpartum patients with severe abdominal symptoms.
- Multidisciplinary collaboration is crucial for timely diagnosis and management of complex postpartum surgical emergencies.
- Prompt surgical intervention can lead to favorable outcomes with minimal morbidity in such critical cases.
