Abstract
A37-year-old,patientpresentedinemergencywithhistoryofnormalvaginaldeliveryfollowedbydevelopmentofabdominaldistention,vomiting,constipationforlast3days.Shewaspara4andhadnormalvaginaldeliverybytraditionalbirthattendantatperipheralhospital3daysback.Imagingstudyrevealedaheterogeneouscomplexmass,ascites,pleuraleffusion,airfluidlevelswithdilatationgutloops.Baseduponpelvicexaminationbyseniorgynaecologistincombinationwithultrasound;aclinicaldiagnosisofbroadligamenthaematomawasmade.However,vomitingandabdominaldistentionraisedsuspicionofintestinalobstruction.Duetoworseningabdominaldistentionexploratorylaparotomywascarriedout.Itwaspseudocolonicobstructionandcaecostomywasdone.Timelyinterventionbymultidisciplinaryapproachsavedpatientlifewithminimalmorbidity
