Abstract
A 35 year-old female presented to casualty after 3 days of giving birth to a healthy baby via normal vaginal delivery (third child). She had complained of left-sided abdominal pain without any vomiting, dysuria or altered bowel habits. On examination, she was distressed and anemic. Her hemoglobin level was 6.8 gm%. Her pulse rate was 110/min and blood pressure was 110/70 mmHg along with signs of peritonitis. Her coagulation profile was within normal limits. Ultrasonography of abdomen revealed left retroperitoneal hematoma with a possibility of psoas abscess. Contrast enhanced computed tomography (CT) scan of abdomen showed left psoas and left renal paracolic compartment hematoma with a possibility of ovarian aneurysm. For further confirmation, CT Angiography was performed which showed left ovarian artery pseudoaneurysm (1.46 9 1.38 cms) at L4 vertebral level with large left retroperitoneal hematoma (Fig. 1). She was taken for exploratory laparotomy with adnexectomy but she continued to have peritoneal bleeding and symptoms. Her hospital course was complicated with wound dehiscence. Ola P. K. (&), Senior Resident Nath R. K., Professor Pandit N., Professor & Head Department of Cardiology, PGIMER & Dr Ram Manohar Lohia Hospital, New Delhi 110001, India e-mail: drpawan25@gmail.com Pawan Kumar Ola He is a post graduate in General Medicine from RNT Medical College, Udaipur, Rajasthan in 2008. Presently, he is doing DM Cardiology (final year) from RML Hospital, New Delhi. His field of interest is intervention cardiology. The Journal of Obstetrics and Gynecology of India (November–December 2015) 65(6):423–425
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