Broad ligament ectopic pregnancy

Abstract

Pregnancy in the broad ligament is a rare form of ectopic pregnancy with a high risk of maternal mortality. Ultrasonography may help in the early diagnosis but mostly the diagnosis is established during surgery. We report the case of a patient with broad ligament ectopic pregnancy diagnosed intraoperatively. The patient had uneventful postoperative recovery.

Broad ligament pregnancy - a rare form of ectopic

“…1,2 It has been noted that abdominal pregnancy is more common in developing countries probably because of the high frequency of pelvic inflammatory disease. 1,3 Broad ligament pregnancy is a type of ectopic in which the foetus or gestational sac develop within the leaves of the broad ligament. 3 This serious form of extrauterine pregnancy is very rare and has a reported incidence of 1 in 1,83,900 pregnancies and occurs in about 1 in 245 ectopic pregnancies.…”

“…1,3 Broad ligament pregnancy is a type of ectopic in which the foetus or gestational sac develop within the leaves of the broad ligament. 3 This serious form of extrauterine pregnancy is very rare and has a reported incidence of 1 in 1,83,900 pregnancies and occurs in about 1 in 245 ectopic pregnancies. 2,3 Primary broad ligament ectopic pregnancy occurs within the broad ligament itself whereas Secondary Broad ligament Pregnancy occurs following tubal rupture and grows in the broad ligament.…”

“…3 This serious form of extrauterine pregnancy is very rare and has a reported incidence of 1 in 1,83,900 pregnancies and occurs in about 1 in 245 ectopic pregnancies. 2,3 Primary broad ligament ectopic pregnancy occurs within the broad ligament itself whereas Secondary Broad ligament Pregnancy occurs following tubal rupture and grows in the broad ligament. 4 As such no specific clinical features are present to help in accurate diagnosis.…”

“…The complications of pregnancy in the broad ligament include abdominal pain, rupture of the gestational sac with hemorrhage into the peritoneal cavity, per vaginal bleeding, an abnormal lie, placental insufficiency and pseudo labour followed by foetal death. 1,3 Given its rarity, there is limited literature is available on the management of broad ligament ectopic pregnancies. In hemodynamically unstable patients' laparotomy is mandatory.…”

Management of Ectopic Pregnancy in a Broad Ligament and Recurrent Tubal Pregnancy: A Case Report

“…How to cite this paper: Mo, X.T., Tang [8], because of the risk of excessive haemorrhage from partial or total placental abruption [6]. The complications of broad ligament pregnancy include abdominal pain, rupture of the gestational sac with hemorrhage into the peritoneal cavity, vaginal bleeding, an abnormal lie, placental insufficiency, and pseudo labor followed by fetal death [9]. The management of pregnancy in the broad ligament requires early diagnosis by routine ultrasound followed by surgical removal of the gestational sac or fetus and placenta.…”