Intraligamentary Extrauterine Pregnancy Delivered at Term: A Case Report and Review of Literature

Abstract

Intraligamentary pregnancy is extremely rare. Preoperative diagnosis is often difficult. We report a case of a 33 year old fe male who had an ectopic pregnancy in the right broad ligament. The pregnancy remained viable till term, but unfortunately resulted in a perinatal death prior delivery. Diagnosis was not made until laparotomy and a well formed still born was delivered. A hi gh index of suspicion and prompt therapeutic intervention are necessary to prevent adverse fetal and or maternal outcome. Mots-clés: grossesse intraligamentaire, foetus à plein terme, Nigeria.

Broad Ligament Pregnancy: Facing the Battle Unarmed

“…[8][9][10][11][12][13] Experiences with a broad ligament pregnancy vary with few being terminated at early gestation in view of hemodynamic unstability due to rupture and the advanced gestations progressing to term gestation with varying fetal outcomes. Few studies quote term broad ligament pregnancy with intrauterine fetal death, 14 few state term gestation with live born baby but culminating into an early neonatal death. 15 Term abdominal pregnancies with the favorable materno-fetal outcome resulting in live birth have been reported by few authors.…”

Advanced extra-uterine pregnancy: A review of the literature

“…[17] Intraligamentous pregnancy occurs when a tubal pregnancy ruptures and grows between the folds of the broad ligaments. [18] A definite differentiation between a primary and a secondary abdominal pregnancy is only possible after a thorough histological examination of the adnexae and uterus, which in most cases is not practical.…”