Raveena Nagaram
N.R.I Medical College, IndiaPresentation Title:
Multidisciplinary management of spontaneous broad ligament hematoma and multi-organ dysfunction after vaginal delivery: A rare postpartum emergency
Abstract
Background: Broad ligament hematomas are rare, but potentially life-threatening complications following vaginal delivery. This can cause concealed hemorrhage and hemodynamic instability, necessitating prompt diagnosis and intervention. Effective management often requires a multidisciplinary approach to prevent maternal morbidities and mortalities.
Case: An 18-year-old woman developed a large broad ligament hematoma and hypovolemic shock following a normal vaginal delivery. She was transferred to our tertiary care center on postpartum day one with persistent hypotension, requiring intensive resuscitation and uterine artery embolization. Her condition was further complicated by acute renal failure, disseminated intravascular coagulation (DIC), and respiratory distress, necessitating intubation, multiple blood product transfusions, and hemodialysis. The patient recovered completely with aggressive multidisciplinary management involving interventional radiology, critical care, and nephrology.
Conclusion: Early recognition of concealed hemorrhage and timely uterine artery embolization along with coordinated nephrology and critical care support ensured complete recovery. This case underscores the importance of a multidisciplinary approach for managing complex PPH with broad ligament hematomas and multi-organ dysfunction.
Biography
Raveena Nagaram is pursuing her MS in Obstetrics and Gynecology at NRI Medical College & General Hospital, Chinakakani, after completing her MBBS from Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar. She has published in the Indian Journal of Maternal-Fetal & Neonatal Medicine and serves as a peer reviewer for Gynecology and Minimally Invasive Therapy. She has presented award-winning research at national conferences, including AIIMS Mangalagiri. A lifetime member of FOGSI, she is registered with the Telangana and Andhra Pradesh Medical Councils. Her areas of interest include maternal-fetal medicine, gynecologic oncology, and preventive women’s health.
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