An Uncommon Presentation of a Ruptured Tubal Ectopic Pregnancy With Broad Ligament Hematoma

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.

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Journal
Cureus
Published
2025-04-02
DOI
https://doi.org/10.7759/cureus.81605
Primary Topic
Ectopic Pregnancy Diagnosis and Management
Type
article
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0.00
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article

An Uncommon Presentation of a Ruptured Tubal Ectopic Pregnancy With Broad Ligament Hematoma

Diksha Diksha, Priyanka Priyanka, Ritu Singh, Deeptimayee Pathi
Cureus
Ectopic Pregnancy Diagnosis and Management
article

An Uncommon Presentation of a Ruptured Tubal Ectopic Pregnancy With Broad Ligament Hematoma

Diksha Diksha, Priyanka Priyanka, Ritu Singh, Deeptimayee Pathi
article en

Abstract

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.

CureusVol. 17(4)
Holy Family Hospital (IN)
Good health and well-being
Openalex Percentile: Top 91%
Ectopic Pregnancy Diagnosis and Management
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An Uncommon Presentation of a Ruptured Tubal Ectopic Pregnancy With Broad Ligament Hematoma — Diksha Diksha, Priyanka Priyanka, et al. · Cureus (2025) | TGRS Research Map | TGRS