Large Supralevator Puerperal Haematoma Following a Normal Delivery

Abstract

BACKGROUND: Puerperal Haematomas are not very common and Supralevator haematomas following normal vaginal deliveries are quite rare.
METHOD: We report a case of  supralevator haematoma following a normal spontaneous vertex delivery, necessitating laparotomy.
RESULTS: A 29 year old multiparous woman who had a normal pregnancy and normal labour, developed a large supralevetor haematoma . She had a laparotomy and her  recovery was uneventful.
CONCLUSION: Supralevator haematomas  should be considered  in  patients presenting with lower abdominal pains and absence of  vaginal bleeding following normal delivery. Ultrasound scan is helpful, but not conclusive in the diagnosis of supralevator  haematomas.

KEY WORDS: Puerperal, Haematoma, Supralevator, Infralevator.