Bilateral Ovarian Artery Rupture Causing Retroperitoneal Haematoma: An Uncommon Etiology of Post-Caesarean Hypotension

Retroperitoneal haematoma in the peripartum period is rare, occurring in 0.07% to 0.32% of deliveries. Common causes of postpartum retroperitoneal haematoma are trauma and spontaneous haemorrhage due to the rupture of arterial aneurysms, rupture of tumours and rupture of ovarian arteries. Rupture of the ovarian arteries is rare, accounting for only 5.24% of all cases. The diagnosis of retroperitoneal haematoma as a cause of hemodynamic instability in the peripartum period may be delayed due to its rarity and due to the difficulty of eliciting clinical signs in the peripartum period. This case report describes a patient who had rupture of bilateral ovarian arteries in the peripartum period.