Broad Ligament Disorders


Description

The uterus, fallopian tubes, and ovaries are joined to the pelvis by the broad ligament, a peritoneal fold. The wide ligament disorders are uncommon.

Types of broad ligament disorders include :

Anatomic defects and internal herniation
Broad ligament laceration: Allen-Masters syndrome
Broad ligament hematoma
Parametritis
Broad ligament ectopic pregnancy
Endometrioma and endometriosis
Broad Ligament Tumors

Symptoms

According to the type of disorder, the symptoms might vary including :

Persistent pelvic pain
Dyspareunia
Menstrual disturbances
Back pain.
Acute abdomen
Nausea
Vomiting
Fullness or pressure in the recto anal area, or an urge to push.
Dizziness
Hypotension
Anemia
If you have any of these symptoms visit a Gynaecologist to be diagnosed and treated properly.


Causes

Most of the disorders occur as a result of scarring due to :

Congenital defects
Acquired defects due to trauma during pregnancy or delivery, pelvic inflammatory disease (PID), endometriosis, and surgical damage.
Surgical or traumatic lacerations of the broad ligament during delivery
Induced abortion (less frequent)
Excessive vaginal packing
Tears during dilatation during dilatation and curettage (D&C) or dilatation and evacuation (D&E)
The risk of disorders increases in case of :

Congenital coagulopathy (in case of hematoma)

Diagnostics

CT scan of the abdomen and pelvis
Pelvic MRI
Laparoscopy


Treatment

Surgical interventions
Laparoscopy
Uterine artery embolization (in cases of hematomas after deliver)
Blood transfusion
Fluid resuscitation

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