The New Indian Journal of OBGYN 4(1)

Acute haemoperitoneum due to broad ligament tears and utero ovarian vessel rupture secondary to endometriosis

Daksha Bhobe, Eki Emovon

ABSTRACT

Acute haemoperitoneum in pregnancy due to tears in broad ligament and utero-ovarian vessel rupture is quite rare. Endometriosis is an important pelvic pathology in many such cases. We present a case of primigravida, a known case of endometriosis, at 14.5 weeks of pregnancy who presented with hypovolemic shock and was found to have broad ligament tears and oozing from utero-ovarian vessels and hemoperitoneum at laparotomy. Subsequently she had a miscarriage and was found to have pelvic hematoma which was successfully managed with radiological intervention thus reducing maternal morbidity. She had a successful normal delivery 5 years later.