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Lewis and Ankita: Spontaneous pelvic, sigmoid hematoma with CVS thrombosis in a atraumatic vaginal delivery12 MOGS Chronicles | Volume 1 | Issue 1 | September 2024%u00a9 The Author(s). 2024 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons. org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/ zero/1.0/) applies to the data made available in this article, unless otherwise stated.Editor%u2019s NoteThis rare case report, serves as a valuable reminder of the challenges we face in obstetric care. What makes this case significant is the combination of pelvic and sigmoid hematomas, alongside cerebral venous sinus thrombosis, all of which are critical conditions that are related to significant morbidity and mortality and pose significant challenges in management. Pelvic atraumatic hematomas can arise due to the hypercoagulable state of pregnancy, particularly in cases of eclampsia that exacerbate this, leading to severe complications such as blood loss and associated morbidity. Similarly, sigmoid hematomas can result from pressure during labour or delivery, necessitating prompt diagnosis and intervention to prevent further complications. The occurrence of cerebral venous sinus thrombosis, which may present with neurological symptoms and requires immediate attention. The report illustrates the importance of timely diagnosis and intervention to improve patient outcomes. Amultidisciplinary collaboration helps to manage complex obstetric emergencies effectively.