Broad ligament pregnancy is a rare obstetric condition. Its diagnosis is quite difficult andmanagement is challenging. Here we report a case of a 26 years old primi gravida conceivedfollowing laparoscopy and ovulation induction. Diagnosis of the broad ligament pregnancywas done by a transvaginal ultrasound at her 9 weeks and was proceded with laparoscopyfollowed by laparotomy. A right broad ligament pregnancy was found and the sac with fetuswas removed. Laparoscopy was converted into a laparotomy as there was an uncontrollablebleeding from the broad ligament. Here we present a case of this extreme rare type of broadligament pregnancy. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(2) : 164-166
Here we reported three cases of unilateral tubal and ovarian absence, along with laparoscopic images and images during ceasarean section in Anwer Khan Modern Medical College. Three patients with primary infertility of 6-8 years duration were reported as non-visualization of right adnexal structures on transvaginal ultrasound and hysterosalpingography. Absence of right adnexal structures of varying degree were detected during laparoscopy. Subsequent evaluation of renal system with Intravenous Pyelography were done. Ipsilateral absence of the fallopian tube and ovary without any other system anomalies were detected. Vascular accidents, Congenital defects or torsion could be the possible etiologic factors. Laparoscopy is a feasible option as a diagnostic tool for these cases.Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 97-100
Broad ligament pregnancy is a rare obstetric condition. Its diagnosis is quite difficult and management is challenging. Here we report a case of a 26 years old primi gravida conceived following laparoscopy and ovulation induction. Diagnosis of the broad ligament pregnancy was done by a transvaginal ultrasound at her 9 weeks and was proceded with laparoscopy followed by laparotomy. A right broad ligament pregnancy was found and the sac with fetus was removed. Laparoscopy was converted into a laparotomy as there was an uncontrollable bleeding from the broad ligament. Here we present a case of this extreme rare type of broad ligament pregnancy. J Dhaka Medical College, Vol. 28, No.1, April, 2019, Page 123-125
Aims and objectives: Hysteroscopy is now accepted as a gold standard method not only to access the uterine cavity but also to make therapeutic interventions for restoring the endometrial environment required for pregnancy. Uterine factors can compromise the fertility rate in infertility treatment or in assisted reproduction. This prospective study is done to diagnose different intrauterine pathologies responsible for subfertility in Bangladeshi population.
Some infertile patients are diagnosed with unilateral or bilateral tubal block by hysterosalpingography (HSG). Laparoscopy is considered as the next step in its investigation and the tubes may be found patent in some of the cases confirming false positive for the HSG. Patients with confirmed bilateral tubal block (BLTB) have no option but to undergo in-vitro fertilization. IVF is a relatively expensive procedure. Many patients in Bangladesh are unable to proceed with repeated attempts if they fail to conceive in the first cycle. A significant proportion of these infertile women remain childless throughout their lives and become psychologically devastated. Laparoscopy guided hysteroscopic tubal cannulation can offer an alternative form of treatment in these groups of patients. Here we report a case in which BLTB was found both in HSG and laparoscopy. The patient then proceeded on to three unsuccessful embryo transfers. Following this, laparoscopy guided hysteroscopic tubal cannulation was performed and it was possible to successfully recanalize one tube. The patient became pregnant and delivered a healthy baby at term.
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