Singh Ritu, Pathi Deeptimayee
Obstetrics and Gynecology, Kurji Holy Family Hospital, Patna, IND.
Cureus. 2025 Apr 2;17(4):e81605. doi: 10.7759/cureus.81605. eCollection 2025 Apr.
Broad ligament hematomas are rare in obstetrics. These hematomas typically result from vaginal, cervical, or uterine tears that extend to the uterine or vaginal arteries. Although cases of intestinal ectopic pregnancies presenting as broad ligament hematomas with no intraperitoneal collection have been reported, no cases involving broad ligament hematomas along with hemoperitoneum following ampullary ruptured ectopic pregnancy have been documented. Internal iliac artery ligation (IIAL) is particularly useful in broad ligament hematomas. So, we present a case of ruptured ampullary ectopic pregnancy with both intraperitoneal collection and broad ligament hematoma managed by salpingectomy and bilateral IIAL.
阔韧带血肿在产科中较为罕见。这些血肿通常由延伸至子宫或阴道动脉的阴道、宫颈或子宫撕裂引起。虽然有报道称肠道异位妊娠表现为阔韧带血肿且无腹腔内积液,但尚无壶腹部破裂异位妊娠后出现阔韧带血肿伴腹腔积血的病例记录。髂内动脉结扎术(IIAL)在阔韧带血肿治疗中特别有用。因此,我们报告一例壶腹部破裂异位妊娠伴腹腔内积液和阔韧带血肿的病例,该病例通过输卵管切除术和双侧IIAL进行治疗。