{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T11:14:30Z","timestamp":1792062870785,"version":"4.4.0"},"reference-count":7,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2021,2,18]],"date-time":"2021-02-18T00:00:00Z","timestamp":1613606400000},"content-version":"vor","delay-in-days":48,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AJP Rep"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Broad ligament hematomas are rare in the setting of vaginal delivery. When they do occur, patients typically present with acute hemodynamic instability. No cases of infected broad ligament hematomas have been reported.<\/jats:p><jats:p>\n          Case\u2003A 22-year-old G2 P1011 status post vaginal delivery complicated by chorioamnionitis and pre-eclampsia presented 5 days postpartum with subjective complaints of fever, vomiting, and increased vaginal bleeding. She was treated with antibiotics and uterine evacuation was planned for presumed retained products. After dilation and curettage, the patient was transferred to our facility, as her clinical status did not improve, and was later found to have an infected broad ligament hematoma requiring hysterectomy.<\/jats:p><jats:p>\n          Conclusion\u2003Though uncommon, broad ligament hematomas should be considered in postpartum women presenting with anemia and vaginal bleeding, even without hemodynamic instability. Recent intrauterine infections may predispose to hematoma infection.<\/jats:p>","DOI":"10.1055\/s-0040-1722727","type":"journal-article","created":{"date-parts":[[2021,2,19]],"date-time":"2021-02-19T00:26:23Z","timestamp":1613694383000},"page":"e34-e37","source":"Crossref","is-referenced-by-count":7,"title":["Spontaneous Broad Ligament Hematoma after Vaginal Delivery Requiring Hysterectomy"],"prefix":"10.1055","volume":"11","author":[{"given":"Megan","family":"Varvoutis","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, Duke University, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nguyen Thao Thi","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chad","family":"Grotegut","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, West VIrginia University, Morgantown, West Virginia"},{"name":"Division of Maternal Fetal Medicine, Duke University, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,2,18]]},"reference":[{"issue":"01","key":"ref1","first-page":"51","article-title":"[Spontaneous rupture of utero-ovarian vessels in postpartal period: a case report and review of the literature]","volume":"32","author":"V Ziereisen","year":"2003","journal-title":"J Gynecol Obstet Biol Reprod (Paris)"},{"issue":"04","key":"ref2","first-page":"683","article-title":"Broad ligament hematoma following a vaginal delivery in primigravida","volume":"25","author":"N Saleem","year":"2009","journal-title":"Pak J Med Sci"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1007\/s10397-006-0184-2","article-title":"Broad ligament hematoma following a normal vaginal delivery","volume":"3","author":"M Kovo","year":"2006","journal-title":"Gynecol Surg"},{"issue":"09","key":"ref4","doi-asserted-by":"crossref","first-page":"2059","DOI":"10.1161\/01.ATV.19.9.2059","article-title":"Estrogen mediates the protective effects of pregnancy and chorionic gonadotropin in a mouse model of vascular injury","volume":"19","author":"L Zhang","year":"1999","journal-title":"Arterioscler Thromb Vasc Biol"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1016\/j.jmig.2019.06.002","article-title":"Massive broad ligament hematoma caused by spontaneous uterine artery rupture after uncomplicated vaginal delivery","volume":"27","author":"H J Lee","year":"2020","journal-title":"J Minim Invasive Gynecol"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1111\/j.1479-828X.1997.tb02264.x","article-title":"An unusual case of acute postpartum broad ligament haematoma","volume":"37","author":"C Maxwell","year":"1997","journal-title":"Aust N Z J Obstet Gynaecol"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.ajog.2004.03.003","article-title":"The Maternal-Fetal Medicine Units cesarean registry: chorioamnionitis at term and its duration-relationship to outcomes","volume":"191","author":"D J Rouse","year":"2004","journal-title":"Am J Obstet Gynecol"}],"container-title":["American Journal of Perinatology Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1722727.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,19]],"date-time":"2021-02-19T00:26:28Z","timestamp":1613694388000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1722727"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":7,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2021,1,13]]},"published-print":{"date-parts":[[2021,1]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1722727","relation":{},"ISSN":["2157-6998","2157-7005"],"issn-type":[{"value":"2157-6998","type":"print"},{"value":"2157-7005","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}