title: A Rare Case of Bilateral Broad Ligament Haematoma in Twin Pregnancy.
abstract: 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.
authors.affiliation: Associate Professor, Department of Obstetrics and Gynecology, Vijayanagar Institute of Medical Sciences , Bellary, India .
authors.forename: Vijayalakshmi
authors.initials: V
authors.lastname: Bankada
authors.affiliation: Senior Resident, Department of Obstetrics and Gynecology, Vijayanagar Institute of Medical Sciences , Bellary, India .
authors.forename: Pallavi
authors.initials: P
authors.lastname: Purra
authors.affiliation: Post Graduate, Department of Obstetrics and Gynecology, Vijayanagar Institute of Medical Sciences , Bellary, India .
authors.forename: Amulya Marikatte
authors.initials: AM
authors.lastname: Ningappa
authors.affiliation: Professor, Department of Obstetrics and Gynecology, Vijayanagar Institute of Medical Sciences , Bellary, India .
authors.forename: Shankar
authors.initials: S
authors.lastname: Jirankal
keywords: Hysterectomy; Retroperitoneal haematoma; Uterine artery ligation