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

TL;DR

A rare case of a ruptured ectopic pregnancy presented with a broad ligament hematoma and internal bleeding, successfully treated with surgery.

Contribution

This paper documents a unique case of ampullary ectopic pregnancy with both broad ligament hematoma and hemoperitoneum.

Findings

Ruptured ampullary ectopic pregnancy can present with broad ligament hematoma and hemoperitoneum.

Salpingectomy and bilateral internal iliac artery ligation effectively managed the case.

Such combined presentation has not been previously documented.

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.

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