PMC7568792_01
Abdominal Ultrasonography (US) in the emergency room revealed an echogenic mass on the pouch of Douglas.
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fig1
On the pouch of Douglas, there was an echogenic image with 95 x 88 x 53 mm suggestive of a blood clot (Figure 1).
Laceration of the posterior left leaflet of the broad ligament after the first suture on the uterine arterial branch.
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fig2
An active site of bleeding from the left uterine artery branch with blood pulsating from the laceration was identified and sutured (Figure 2).