Postpartum Massive Hematoma within the Broad Ligament of the Uterus in a Broodmare Possibly Caused by Rupture of the Uterine Artery.
Abstract: A broodmare showed mild signs of abdominal discomfort and anemia after normal delivery. Ultrasonographic examination revealed a massive hematoma within the broad ligament adjacent to the uterine horn. Internal bleeding into the peritoneal cavity (hemoabdomen) was not seen. Following treatment, the clinical signs improved. Hemorrhage caused by rupture of the arteries within the broad ligament of the uterus may be a cause of hematoma. Prepartum and postpartum rupture of the arteries supplying the reproductive organs in the mare, which is not uncommon, can be fatal if severe hemoabdomen occurs. In the present case, the hematoma was considered to be tightly encapsulated between two serosal membrane layers of the broad ligament, and the membranes had remained intact. Thus, the serosal membranes did not split open, and massive bleeding into the peritoneal cavity did not occur. For this reason, the present broodmare avoided potentially fatal hemorrhagic shock.
Publication Date: 2009-10-23 PubMed ID: 24833968PubMed Central: PMC4013962DOI: 10.1294/jes.20.41Google Scholar: Lookup
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Summary
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The research article discusses a case where a broodmare experienced a significant hematoma in the broad ligament of the uterus after childbirth, likely caused by a ruptured uterine artery. Despite this, the mare showed signs of improvement post-treatment, largely because the membranes surrounding the hematoma did not split open and cause potentially fatal bleeding into the peritoneal cavity.
Case Presentation
- The article sheds light on a broodmare (female horse used for foaling) that developed mild abdominal discomfort and anemia following a normal delivery.
- An ultrasonographic examination pointed to the presence of a massive hematoma (a solid swelling of clotted blood) within the broad ligament adjacent to the uterine horn.
- The mare did not display internal bleeding into the peritoneal cavity (a condition known as hemoabdomen).
Possible Cause
- The cause for such a condition could stem from a hemorrhage triggered by the rupture of the arteries located within the broad ligament of the uterus, resulting in the formation of a hematoma.
- Rupturing of arteries providing blood to reproductive organs, both before and after parturition, is not uncommon in mares and can lead to life-threatening hemoabdomen.
Condition and Treatment
- In this specific case, the hematoma was thought to be encapsulated tightly between two layers of a serosal membrane within the broad ligament, and these membranes remained intact.
- Because there was no tearing of the serosal membranes, severe bleeding into the peritoneal cavity, which could have otherwise occurred, was prevented.
- This was crucial as it allowed the mare to evade hemorrhagic shock, which could have potentially been fatal.
- After receiving appropriate treatment, the clinical signs presented by the mare showed signs of improvement.
Research Implication
- The article showcases the possible complications that can arise during the postpartum period in broodmares.
- These insights are instrumental in raising awareness and improving the treatment and care of broodmares during the birthing process.
Cite This Article
APA
Oikawa MA, Nambo Y, Miyamoto M, Miura H, Kikuchi M, Ohnami Y.
(2009).
Postpartum Massive Hematoma within the Broad Ligament of the Uterus in a Broodmare Possibly Caused by Rupture of the Uterine Artery.
J Equine Sci, 20(3), 41-46.
https://doi.org/10.1294/jes.20.41 Publication
Researcher Affiliations
- Laboratory of Large Animal Internal Medicine, School of Veterinary Medicine, Kitasato University, Towada City, Aomori 034-8628, Japan.
- Breeding & Training Division, Breeding & Training Research Center, Hidaka Training Farm, 535-13 Nissha, Urakawa-cho, Hidaka, Hokkaido 057-0171, Japan.
- Laboratory of Large Animal Internal Medicine, School of Veterinary Medicine, Kitasato University, Towada City, Aomori 034-8628, Japan.
- Laboratory of Theriogenology, School of Veterinary Medicine, Kitasato University, Japan.
- Laboratory of Theriogenology, School of Veterinary Medicine, Kitasato University, Japan.
- Laboratory of Theriogenology, School of Veterinary Medicine, Kitasato University, Japan.
References
This article includes 11 references
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- Morn DE. Lactoferrin and other antimicrobial proteins. pp.142–143. In: Large Animal Internal Medicine, 4th ed..
- Paesano R, Torcia F, Berlutti F, Pacifici E, Ebano V, Moscarini M, Valenti P. Oral administration of lactoferrin increases hemoglobin and total serum iron in pregnant women.. Biochem Cell Biol 2006 Jun;84(3):377-80.
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- Roberts SJ. Hemorrhage of pregnancy. p.710. In: Current Therapy in Theriogenology 2.
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Citations
This article has been cited 3 times.- Willette J, Gerras A, Sledge D, Koch D. A Case Report of Uterine Body Constriction Precluding Normal Parturition Leading to Dystocia in a Mare. Vet Sci 2023 Feb 10;10(2).
- Jamieson CA, Baillie SL, Johnson JP. Blood Transfusion in Equids-A Practical Approach and Review. Animals (Basel) 2022 Aug 23;12(17).
- Mathesan M, Sharma N. A Rare Case of Broad Ligament Hematoma Following Vaginal Delivery. Cureus 2024 Jun;16(6):e62205.
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