How do you treat broad ligament hematoma?
If the hematoma appears to be expanding, direct pressure should be applied to the site. Extended pressure may result in hemostasis of smaller vessels. Pressure will also limit blood loss while supplies are collected. When possible, bleeding vessels should be cauterized or suture ligated as necessary.
What is the cause of broad ligament fibroid?
Broad ligament fibroid is a benign smooth muscle tumor which originates from the broad ligament hormone-sensitive smooth muscle or secondarily from the uterine smooth muscle. [5,6] Extrauterine leiomyoma which commonly occurs in the broad ligament is usually asymptomatic.
Which ultrasound is best for fibroids?
An abdominal ultrasound, which requires a full bladder, is better for large fibroids but doesn’t show as much detail.
What is the best treatment for intramural fibroids?
Intramural fibroids can be difficult to treat with non-surgical options. Because of that, surgery is the best option for some patients. 2 The most common procedure is a myomectomy. This surgery, which can be done laparoscopically or with a full incision, removes fibroids while keeping the uterus intact.
How is broad ligament hematoma diagnosed?
Ultrasound remains the method of choice for diagnosis of broad ligament hematomas, demonstrating its relationship to the pelvic organs. In our case, a high level of suspicion led us to perform transvaginal ultrasound and to detect the hematoma that developed during or after delivery.
What does the broad ligament do?
The broad ligament is believed to hold the uterus in its normal position within the pelvis and maintains the relationship of the fallopian tubes to the ovaries and the uterus, a role that might be important in reproduction.
Does the broad ligament cover the ovary?
The broad ligament contains the blood vessels to the ovaries, fallopian tubes, and uterus. The ovarian arteries branch from the abdominal aorta and run through the suspensory ligaments of the ovaries, also known as the infundibulopelvic ligaments. The suspensory ligaments attach each ovary to the pelvic sidewall.
What drugs can shrink fibroids?
They may prescribe medicine called gonadotropin releasing hormone analogues (GnRHas) to help shrink your fibroids. GnRHas, such as goserelin acetate, are hormones given by injection.
What does broad ligament pain feel like?
Round ligament pain feels like a deep, sharp, stabbing or stretching sensation that begins or worsens with movement. Some triggering movements may include rolling over in bed or taking a step.
Does broad ligament contain ovary?
The broad ligament contains the following structures: Fallopian tubes. Ovaries. Ovarian arteries.