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Related Experiment Video

Updated: Apr 28, 2026

Development of a Uterosacral Ligament Suspension Rat Model
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[Post-term pregnancy in the broad ligament].

H Rakotomahenina1, H A Andrianampy1, P Ramamonjinirina1

  • 1Service de gynécologie obstétrique, centre hospitalier universitaire de Fianarantsoa, Fianarantsoa, Madagascar.

Gynecologie, Obstetrique & Fertilite
|June 15, 2014
PubMed
Summary

A rare case of post-term pregnancy occurred in the broad ligament, resulting in a fetal demise. Surgical intervention successfully removed the fetus and placenta, with the patient recovering without major complications.

Keywords:
Broad ligamentC-sectionCésarienneEctopic pregnancyGrossesse ectopiqueLigament largeMaternal morbidityMorbi-mortalité maternelle

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Area of Science:

  • Reproductive Medicine
  • Maternal-Fetal Medicine
  • Surgical Obstetrics

Background:

  • Post-term pregnancy, defined as extending beyond 42 weeks of gestation, presents various risks.
  • Intraligamentary pregnancy, a rare form of ectopic pregnancy, is infrequently documented, especially in post-term cases.
  • This case highlights a unique presentation of a pregnancy complicating the broad ligament in a post-term scenario.

Observation:

  • A 33-year-old woman, gravida 2 para 1, presented at 44 weeks gestation with a non-viable fetus in transverse lie.
  • Ultrasound confirmed fetal demise and transverse presentation.
  • The patient had not received prenatal care during gestation.

Findings:

  • A cesarean section was performed for delivery.
  • The fetus was successfully extracted from the right broad ligament.
  • The placenta was located on the posterior uterine wall.
  • Estimated blood loss was 1200 mL, requiring transfusion of isogroup blood.
  • The patient experienced no significant postoperative complications.

Implications:

  • This case underscores the importance of considering rare ectopic pregnancy locations, even in advanced gestations.
  • Timely diagnosis and surgical management are crucial for favorable maternal outcomes in such complex obstetric emergencies.
  • Further research into risk factors and management protocols for intraligamentary pregnancy is warranted.