Open AccessA Rare Case of Bilateral Broad Ligament Haematoma in Twin Pregnancy
Author(s) -
Vijayalakshmi Bankada,
Pallavi Purra,
Amulya Marikatte Ningappa,
Shankar Jirankal
Publication year - 2015
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2015/15471.6588
Subject(s) - medicine , caesarian section , surgery , vaginal delivery , pregnancy , obstructed labour , uterine artery , conjoined twins , ligation , twin pregnancy , obstetrics , gestation , genetics , caesarean section , biology
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.