Rare case of broad ligament pregnancy

Authors

  • Pragya Ojha Department of Obstetrics and Gynaecology, Sardar Patel Medical College, Bikaner Rajasthan, India
  • Kalika Vaish Department of Obstetrics and Gynaecology, Sardar Patel Medical College, Bikaner Rajasthan, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20212688

Keywords:

Pregnancy, Broad ligament, Ectopic, Laparotomy

Abstract

Broad ligament pregnancy is rare form of abdominal pregnancy. There is high risk of maternal morbidity and mortality. Due to its rarity, usually, diagnosis cannot be established before surgery. We reported a 27 year old, G3P2L2 who presented with 4 month amenorrhea with pain in lower abdomen. Ultrasonography revealed a single live extra-uterine pregnancy of 17 weeks in right adnexa. A right sided Broad ligament pregnancy was found on exploratory laparotomy. Excision of mass with right sided salpingo-oophrectomy was performed. Post operative course was uneventful. Early diagnosis with high risk of suspicion and early intervention is needed to overcome it’s related complications.

Author Biography

Pragya Ojha, Department of Obstetrics and Gynaecology, Sardar Patel Medical College, Bikaner Rajasthan, India

Dr Pragya ojha 

Junior resident 

Obstetrics and gynecology

References

Ludwig M, Kaisi M, Bauer O, Diedrich K. The forgotten child- A case of heterotropic, intra-abdominal and intrauterine pregnancy carried to term. Hum Reprod. 1999;14:1372-4.

Cordero DR, Adra A, Yasin S, O'Sullivan MJ. Intraligamentary pregnancy. Obstet Gynecol Surv. 1994;49(3):206-9.

Chia KV, Fayle RJS, Ferriman E. Intraligamentary pregnancy. J Obstet Gynaecol. 1993;13(4):254.

Alto WA. Abdominal Pregnancy. Am Fam Physician. 1990;4:209-14.

Latchaw G, Takacs P, Gaitan L, Geren S, Burzawa J. Risk factors associated with the rupture of tubal ectopic pregnancy. Gynecol Obstet Invest. 2005;60:177-80.

Job -Spira N, Fernandez H, Bouyer J. Ruptured tubal ectopic pregnancy;risk factors and reproductive outcome results a population based study in france. Am J Obstet Gynecol. 1999;180:938-44

Sagili H, Rani R. Preoperative Methotrexate in Broad-Ligament Pregnancy: Is There a Role? J Gynecol Surg. 2013;29(2):102-4.

Sharma S, Pathak N, Goraya SPS, Mohan P. Broad ligament ectopic pregnancy. Sri Lanka Journal of Obstet Gynaecol. 2011;33(2):60-2.

Salomón AJR, Ortiz HA, Medrano MG, Rivera ESF. [Ectopic intraligamentary pregnancy]. Ginecol Obstet Mex. 2013;81(4):211-4.

Naeiji Z, Saleh M, Keshavarz E. Broad ligament pregnancy: a case report. Res J Med Sci. 2015;9(3):118-22.

Downloads

Published

2021-06-28

Issue

Section

Case Reports