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Pregnancy in the broad ligament.
Vorapong Phupong1, Ruangsak Lertkhachonsuk, Surang Triratanachat
1Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, Thailand. vorapong.p@chula.ac.th
Archives of Gynecology and Obstetrics
|August 28, 2003
Summary
Broad ligament pregnancy, a rare ectopic pregnancy, was diagnosed using clinical and ultrasound findings in a 38-year-old woman. Prompt surgical intervention led to a successful outcome, highlighting the importance of these diagnostic methods.
Area of Science:
- Reproductive Medicine
- Surgical Gynecology
- Diagnostic Imaging
Background:
- Ectopic pregnancy, particularly broad ligament pregnancy, is uncommon and challenging to diagnose preoperatively.
- Previous cesarean sections are a known risk factor for certain types of ectopic pregnancies.
Observation:
- A 38-year-old woman (gravida 3, para 2) with a history of two cesarean sections presented with vaginal bleeding at 11 weeks gestation.
- Clinical presentation and transvaginal ultrasonography suggested pregnancy within the right broad ligament.
Findings:
- Emergency laparotomy confirmed pregnancy in the right broad ligament.
- Surgical management included excision of the pregnancy and a right salpingectomy.
- The patient recovered well and had no complications at the 6-week follow-up.
Implications:
- This case underscores the utility of clinical suspicion combined with transvaginal ultrasonography in diagnosing rare broad ligament pregnancies.
- Early and accurate diagnosis is crucial for timely surgical intervention and improved patient outcomes in broad ligament pregnancies.
- Further research into diagnostic markers for early detection of broad ligament pregnancy is warranted.