title: Large supralevator puerperal haematoma following a normal delivery.
abstract: BACKGROUND
  Puerperal Haematomas are not very common and supralevator haematomas following normal vaginal deliveries are quite rare.
  
  
  METHODS
  We report a case of supralevator haematoma following a normal spontaneous vertex delivery, necessitating laparotomy.
  
  
  RESULTS
  A 29 year old multiparous woman who had a normal pregnancy and normal labour, developed a large supralevetor haematoma. She had a laparotomy and her recovery was uneventful.
  
  
  CONCLUSIONS
  Supralevator haematomas should be considered in patients presenting with lower abdominal pains and absence of vaginal bleeding following normal delivery. Ultrasound scan is helpful, but not conclusive in the diagnosis of supralevator haematomas.
authors.affiliation: Department of Obstetrics & Gynaecology, Nnamdi Azikiwe University Teaching Hospital Nnewi Nigeria. charlyikokafor@yahoo.com
authors.forename: C I
authors.initials: CI
authors.lastname: Okafor
authors.forename: C O
authors.initials: CO
authors.lastname: Okafor
authors.forename: M E
authors.initials: ME
authors.lastname: Nwankwo
mesh_terms: D000328:Adult; D005260:Female; D006406:Hematoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D006473:Postpartum Hemorrhage / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D011247:Pregnancy; D014463:Ultrasonography