Broad ligament pregnancy: A case series and literature review

Abstract

Broad ligament pregnancies are rare and are often misdiagnosed, leading to serious consequences. In our hospital, we have treated six broad ligament pregnancies since 2000. They were diagnosed and operated on promptly, and treatment was successful. Ultrasound can detect early ectopic pregnancies promptly and effectively, avoiding advanced ectopic pregnancies. Early broad ligament pregnancies should be operated on promptly, and laparoscopic therapy is preferable. During the operation, attention must be paid to avoid massive bleeding and protect the ureter, because the ectopic gestational sac is located near the uterine artery and the ureter.

Intraligamentary Pregnancy with Recurrent Urine Retention: Case Report

“…In our estimation, the serious complications in this condition are severe haemorrhage; from intra-abdominal rupture of the gestational sac, intraoperative and immediate post-operative bleeding from the placental site. Generally, it is recommended that the cord is cut short and the placenta is left in situ, and postoperatively, the patient's β-HCG is monitored [5] [16], as it was done in our case.…”

Uterine artery embolization combined with methotrexate for broad ligament ectopic pregnancy in a 30-year old primigravida

“…To our knowledge, this is the first case report that reports the efficacy of UAE and intra-arterial methotrexate for a broad ligament ectopic pregnancy with no prior risk factors. There are no set criteria for the mode of therapy among stable patients and approaches are dependent on the patients’ desire to preserve fertility 7 . Conservative management options such as UAE and/or methotrexate during the first trimester in hemodynamically stable patients has advantages including fertility preservation, minimal complications, and reduction of blood loss [6] .…”