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Introduction Broad ligament hematoma is a rare but significant complication in obstetric practice. It results from tear in uterus, cervix and upper vagina extending upto uterine or vaginal vessels. Broad ligament hematomas can have maternal mortality as high as 40%. Case Report 29 years old P2L2 was referred from Naigaon Maternity home in view of broad ligament hematoma during caesarean section. Patient was operated in Naigaon Maternity home, intraoperatively there was uterine extension, broad ligament hematoma (size 3*4 cms) noted on the left side. The hematoma rapidly increased in size (7*7 cms) and could not be managed conservatively. Emergency exploratory laparotomy was done with evacuation of left broad ligament hematoma (size 17*15*15 cms) followed by obstetric hysterectomy. 4 pints PCV and 8 pints FFP was transfused to the patient intraoperatively and post-operatively. Patient was kept under observation in intensive care unit. Post stabilisation patient was shifted to ward and monitored. Patient responded to therapy and was discharged. Conclusion The management of broad ligament hematoma depends on the size of the hematoma and patient?s hemodynamic status. Key steps in treating broad ligament hematomas are resuscitation, volume replacement and surgical exploration. The report emphasizes the need for optimum vigilance during operative procedures, timely diagnosis, prompt intervention, multidisciplinary collaboration and vigilant post operative monitoring to ensure optimal recovery of the patient to prevent and minimise complications in cases of broad ligament hematoma.