A case of laparoscopically treated broad ligament ectopic pregnancy followed by spontaneous gestation

Abstract

We present a case of spontaneous pregnancy after laparoscopic surgery for a broad ligament pregnancy. A 34-year-old nulliparous woman presented with 6 weeks of amenorrhea. Due to the presence of an empty uterus with a 10 mm right adnexal mass on transvaginal ultrasonography and elevated serum human chorionic gonadotropin (hCG), ectopic pregnancy was suspected. Upon diagnostic laparoscopy, the presence of a 2 cm broad ligament ectopic pregnancy was confirmed. Laparoscopic removal of the gestational tissues was performed. Six months after surgery, a spontaneous pregnancy was established. At the 40th week of gestation, a cesarean section was performed due to arrested labor, resulting in live birth. To the best of our knowledge, there have been no reports of a spontaneous pregnancy occurring after laparoscopic surgery for broad ligament pregnancy. Laparoscopic surgery as a treatment option for broad ligament pregnancy may be useful in early gestational age because it can be completed without complications.

Fertility-preservation laparoscopic management of an intact broad ligament abdominal ectopic pregnancy: a case report

“…Some authors have reported failed laparoscopic management and switch to laparotomy, 3 while others have reported a successful laparoscopic approach, followed by successful subsequent intrauterine pregnancy. 4 Herein, we present a rare case of a patient with broad ligament EP who was seeking future fertility and was treated conservatively using a minimally invasive laparoscopic approach.…”