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Spontaneous broad ligament rupture following uncomplicated vaginal delivery: A case report
Martina Beretta1, Philippe Demoustier1, Gabriel Charaf1
1Department of Obstetrics and Gynecology, Civil Marie Curie Hospital, Chaussée de Bruxelles 140, 6042 Charleroi, Belgium.
Spontaneous hemoperitoneum in the postpartum period is rare and potentially fatal, especially following an uncomplicated vaginal delivery. We present the case of a 37-year-old woman who developed hypovolemic shock and acute abdominal pain four days postpartum. Imaging revealed massive intra-abdominal bleeding. Emergency laparotomy identified a spontaneous rupture of the left broad ligament with 3 l of hemoperitoneum. Surgical repair and resuscitation were successful. This case underlines the importance of considering internal bleeding in postpartum patients with abdominal symptoms, even in the absence of obstetric complications.
Spontaneous hemoperitoneum in the postpartum period is rare and potentially fatal, especially following an uncomplicated vaginal delivery. We present the case of a 37-year-old woman who developed hypovolemic shock and acute abdominal pain four days postpartum. Imaging revealed massive intra-abdominal bleeding. Emergency laparotomy identified a spontaneous rupture of the left broad ligament with 3 l of hemoperitoneum. Surgical repair and resuscitation were successful. This case underlines the importance of considering internal bleeding in postpartum patients with abdominal symptoms, even in the absence of obstetric complications.
