Full term broad ligament pregnancy: a case report
Keywords:Broad ligament pregnancy, Ectopic pregnancy, Laparotomy, Ultrasonography
A broad ligament pregnancy is extremely rare form of ectopic pregnancy with high maternal and perinatal mortality. The eventuality of such pregnancies reaching full term is even rarer. Although ultrasonography is helpful in making diagnosis, but it is mostly established during laparotomy. Our patient is an unbooked case, G2P1 reported to us at 39 weeks of pregnancy with abdominal pain. Ultrasonography showed viable foetus with severe intrauterine growth restriction (estimated fetal weight of 1.98 kg), transverse lie, severe oligohydramnios with complete placenta praevia. Patient was taken for caesarean section. Intraoperative diagnosis of left broad ligament pregnancy was made, foetus was removed alive and broad ligament along with placenta, left fallopian tube and ovary was excised. Post-operative period was uneventful.
Atrash HK, Frede A, Hoguec CJ. Abdominal pregnancy in the United States: frequency and maternal mortality. Obstet Gynecol. 1987;69(3pt 1):333-7.
Sheela CN, Mhaskar A, Karanth S, Advanced intraligamentory pregnancy resulting in a live birth. J Obstet Gynecol India. 2007;2013:57(6):548-9.
Singh U, Singh N, Pushplata S. Full term viable broad ligament pregnancy surgically managed with favourable feto-maternal outcome. J Obstet Gynecol India. 2012;62(Suppl 1):23-4.
Bouyer J, Coste J, Fernandes H, Pouly JL, Job-Spira N. Sites of ectopic pregnancy: a 10 year population-based study of 1800 cases. Hum Reprod. 2002:17(12):3224-30.
Sharma S, Pathak N, Goraya SPS, Mohan P. Broad ligament ectopic pregnancy. Srilanka J Obstet Gynaecol. 2011;2(33);649-53.
Roberts RV, Dickinson JE. Advanced abdominal pregnancy; still an occurrence in modern medicine. Anst NJZ Obstet Gynecol. 2005;45(6):518-21.
Friedrich EG Jr, Rankin CA Jr. Primary pelvic peritoneal pregnancy. Obstet Gynecol. 1968;31(5):649-53.
Tasnim N, Mahmmud G. Adavanced abdominal pregnancy-a diagnostic and managemet dilemma. J Coll Phys Surg Pak. 2005;15(8):493-5.
Chandra KR, Krik P. Massive haemorrhage in a previously undiagnosed abdominal pregnancy presenting for elective caesarean delivery. Can J Anaesth. 2004;51(1):57-61.