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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.


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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