Abstract
Broad ligament pregnancy is a rare event and always delays in diagnosis. A pregnant woman in early twenties presented for our center. Routine ultra-sonography revealed a first trimester abdominal pregnancy. Broad ligament pregnancy was diagnosed intraoperation and treated with laparoscopic resection successfully. The patient has a history of right tubal pregnancy 2 years ago and terminated with Laparoscopic Salpingostomy. According to the long term followed-up for the patient, we found that she had recurrent right tubal pregnancy 5 months after the broad ligment ectopic pregnancy. She received the salpingectomy laparoscopically. We presented the case to discuss the clinical management of broad ligament ectopic pregnancy and options of surgical treatments of tubal pregnancy to reduce the risk of recurrent.
Highlights
The overall rate of ectopic pregnancy is 1% - 2% in the general population and 2% - 5% among patients who have utilized assisted reproductive technology [1] [2] [3] [4] [5]
According to the long term followed-up for the patient, we found that she had recurrent right tubal pregnancy 5 months after the broad ligment ectopic pregnancy
We presented the case to discuss the clinical management of broad ligament ectopic pregnancy and options of surgical treatments of tubal pregnancy to reduce the risk of recurrent
Summary
The overall rate of ectopic pregnancy is 1% - 2% in the general population and 2% - 5% among patients who have utilized assisted reproductive technology [1] [2] [3] [4] [5]. Abdominal pregnancy in the broad ligament is a rare abdominal pregnancy, in which the gestational sac or fetus develops within the leaves of the broad ligament [4] [7]. The complications of broad ligament pregnancy include abdominal pain, rupture of the gestational sac with hemorrhage into the peritoneal cavity, vaginal bleeding, an abnormal lie, placental insufficiency, and pseudo labor followed by fetal death [9]. The management of pregnancy in the broad ligament requires early diagnosis by routine ultrasound followed by surgical removal of the gestational sac or fetus and placenta. Various surgical procedures may contribute to the risk of developing recurrent ectopic pregnancies. We present the case of a woman diagnosed with broad ligament pregnancy with a history of tubal pregnancy. We discuss the clinical management of a broad ligament pregnancy with regard to prevention, surgical treatment, and prognosis. Informed consent was obtained from the patient both for her clinical management as well as scientific reporting of her case
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