Chronic Ectopic Pregnancy Mimicking Broad Ligament Fibroid: A Case Report

Chronic ectopic pregnancy (CEP) is the implantation of the conceptus outside of the uterine cavity and fallopian tubes are the most frequent site. CEP is among the leading causes of maternal mortality and morbidity. The diagnosis is sometimes made at a later gestational age and is often missed pre-operatively and made intra-operatively, which may cause organ damage and significant hemorrhage. Hence, the present report highlighted a rare case of CEP in a 28-year-old woman who was married for six years and presented to the Department of Obstetrics and Gynaecology with the chief complaints of bleeding per vaginum since 15 days, soaking three to four pads per day. The menstrual history reported the presence of intermenstrual bleeding and was not associated with the passage of clots along with no preceding amenorrhea. The urine pregnancy test (UPT) was weakly positive. For diagnostic assessment, in the view of weak positive UPT describing the possibility of CEP and MRI which was suggestive of broad ligament fibroid. The exploratory laparotomy was planned to confirm the diagnosis and as a part of the intervention which confirmed the diagnosis of CEP mimicking broad ligament fibroid. In conclusion, it is essential to consider CEP in the differential diagnosis of pelvic tumors. For such cases, a combination of clinical vigilance, appropriate imaging, and surgical intervention is essential for effective management.