A broad ligament pregnancy successfully managed by laparoscopy

Sassi, Asma; Dimassi, Kaouther; Slama, Sana Ben; Triki, A.; Lahmar, Ahlem

doi:10.1080/01443615.2017.1342231

Cited by 8 publications

(11 citation statements)

References 6 publications

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“…Ectopic pregnancy patients with a missed diagnosis during early pregnancy are usually women who do not undertake a prenatal examination 4,7,12 . Excellent ultrasound examination can detect an ectopic pregnancy, the location and size of the gestational sac, and whether there is any blood in the abdomen 1,8–10 . As in the sixth patient, an abdominal pregnancy was diagnosed by ultrasound, which was close to the real diagnosis.…”

Section: Discussionmentioning

confidence: 81%

“…The ectopic embryo should be removed immediately after diagnosis. Laparoscopy is the first choice for an early broad ligament pregnancy, 1,8,9,11,14,15 and laparoscopic surgery can be performed up to 12 weeks of gestation 14 . The broad ligament is located close to the uterine artery and ureter.…”

Section: Discussionmentioning

confidence: 99%

“…An ectopic embryo that is implanted in broad ligaments is called a broad ligament pregnancy. It is very difficult to precisely diagnose this rare disease, and the definitive diagnosis is usually made during surgery 1–13 . Since 2000, six cases of a broad ligament pregnancy have been treated at our hospital.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Broad ligament pregnancy: A case series and literature review

Gao

Liu

Fang

et al. 2020

J of Obstet and Gynaecol

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Broad ligament pregnancies are rare and are often misdiagnosed, leading to serious consequences. In our hospital, we have treated six broad ligament pregnancies since 2000. They were diagnosed and operated on promptly, and treatment was successful. Ultrasound can detect early ectopic pregnancies promptly and effectively, avoiding advanced ectopic pregnancies. Early broad ligament pregnancies should be operated on promptly, and laparoscopic therapy is preferable. During the operation, attention must be paid to avoid massive bleeding and protect the ureter, because the ectopic gestational sac is located near the uterine artery and the ureter.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Broad ligament pregnancy: A case series and literature review

Gao

Liu

Fang

et al. 2020

J of Obstet and Gynaecol

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“…Siow et al injected vasopressin into the broad ligament before starting the excision, the pregnancy was removed, and the surgery was completed uncomplicated [38]. Since then there has been an increase in the reports of broad ligament pregnancies which were managed with laparoscopy [11,17,24,25,30,[60][61][62], while Mo et al in 2018, in the case they reported, managed laparoscopically a broad ligament pregnancy with a hemoperitoneum of about 2800 ml. In most cases coagulation was used to control the breeding.…”

Section: Managementmentioning

confidence: 99%

“…The presentation to the hospital-most common with abdominal pain-of a missed broad ligament pregnancy plays an important role to this. Laparotomies have been reported in order to treat a wide spectrum of broad ligament pregnancies, starting with 5 weeks of amenorrhea [60], till broad ligament pregnancies at term [15,36] which were admitted for an emergency cesarian section. Finally a case of a post-term broad ligament pregnancy has been reported [41].…”

Section: Managementmentioning

confidence: 99%

Broad Ligament Pregnancy

Fiorentzis¹,

Margetousakis²,

Georgellis³

et al. 2020

Non-Tubal Ectopic Pregnancy

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An ectopic pregnancy implanted between the leaves of the broad ligament is a challenge to diagnose and manage. It can be found in almost any week of pregnancy, and it can present with a great spectrum of symptoms. This makes it necessary for the clinician to keep a high level of alertness and suspicion for this uncommon diagnosis and to be prepared when treating any ectopic pregnancy with poor response to medical treatment. The broad ligament surrounds a number of anatomical structures, structures necessary to be preserved when removing the ectopic pregnancy. This can be a challenge for the surgeon, especially when the patient presents with severe symptoms and the pregnancy is advanced. In these cases, even hysterectomies have been reported, a severe operation especially when the patient is young and without having completed her family planning. Finally, in the last three decades with the increasing widespread of laparoscopy and the added experience, there is a growing effort to manage these ectopic pregnancies with minimally invasive procedures, offering the patient a faster recovery, minimum blood loss, and lower surgical morbidity.2 live birth. The rarity of these cases also makes it impossible to find extensive series of patients so as to determine the best treatment, making the clinician rely on previous case reports and the methods used in other treated cases. AnatomyThe broad ligament of the uterus is a double-layer fold of peritoneum (anterior and posterior leaves) extending from each side of the uterus to the lateral pelvic walls and the pelvic floor. It covers the lateral uterine corpus and the upper cervix as well. The structures within the broad ligament (uterine tubes, ovarian artery, uterine artery, ovarian ligament, round ligament of the uterus, suspensory ligament of the ovary, ovary) are considered retroperitoneal. The broad ligament itself is composed of visceral and parietal peritonea that contain smooth muscle and connective tissue [4,5].

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Non-tubal ectopic pregnancy

Parker

Marmamula

2016

Arch Gynecol Obstet

118

113

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Non-tubal ectopic pregnancy is a rare but potentially life-threatening and often misdiagnosed condition. This is particularly pertinent for Caesarean scar ectopic pregnancies, the prevalence of which is increasing due to the rising proportion of women having Caesarean sections (Litwicka and Greco, 2011). Practitioners should be aware of non-tubal pregnancies to aid more efficient diagnosis, optimise management and increase patient safety.

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A broad ligament pregnancy successfully managed by laparoscopy

Cited by 8 publications

References 6 publications

Broad ligament pregnancy: A case series and literature review

Broad ligament pregnancy: A case series and literature review

Broad Ligament Pregnancy

Non-tubal ectopic pregnancy

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