Advanced Intraligamentary Pregnancy: A Report of 2 Cases

Schramm, Mary

doi:10.1111/j.1479-828x.1982.tb01454.x

Cited by 3 publications

(10 citation statements)

References 2 publications

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“…As ultrasonic technology has improved and the use of ultrasound has increased in primary hospitals, the missed diagnosis of a broad ligament pregnancy or abdominal pregnancy has decreased in recent years. 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 .…”

Section: Discussionmentioning

confidence: 99%

“…In particular, ureteral damage should be avoided 8,11,14 . It is easy to cause hemorrhage 3,4,9,12,13 ; thus, full evaluation and good preparation before the surgery is essential. When necessary, laparoscopic surgery should be converted to open surgery or supplementary adjuvant chemotherapy should be started after surgery.…”

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%

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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: 99%

Section: Discussionmentioning

confidence: 99%

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Broad ligament pregnancy: A case series and literature review

Gao

Liu

Fang

et al. 2020

J of Obstet and Gynaecol

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“…Another three mild contractions the next 90 minutes were recorded, and after that it was difficult to identify the fetal lie and a definite uterine outline. Emergency laparotomy was carried out, and the placenta was found to be attached to the anterior layer of the broad ligament [40]. The above cases were with favorable result; both mother and child survived through gestation and birth.…”

Section: Pathophysiologymentioning

confidence: 96%

“…There have been reported cases where the size of the pregnancy made it possible to be removed without any damage to the surrounding organs [10-12, 14, 15, 17, 19-26, 33, 36-38, 41, 60-62, 64-66], where in other cases salpingectomy [18,27,31,32,40,56,58,67], oophorectomy [30], or salpingo-oophorectomy [28,34,35,39] was necessary to be performed due to the damage these organs presented. There have also been reported cases where the need for hysterectomy presented [20,29,40,68], and finally in a report by Wolfe and Neigus in 1953, among three cases reported, the two patients died [20]. The above show that a broad ligament pregnancy can be a life-threatening situation or a cause of a serious disability, especially when excision of ovaries or the uterus is a necessity in order to save the patient.…”

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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Broad Ligament Ectopic Pregnancy

Cheung

2014

CRSLS

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Broad ligament ectopic pregnancy is a rare form of ectopic pregnancy. A 30-year-old nulliparous woman with a history of right salpingectomy for tubal pregnancy presented with vaginal spotting at 6 weeks' amenorrhea. Pelvic sonography revealed a possible viable right tubal stump pregnancy. On laparoscopy, a 3-cm broad ligament ectopic pregnancy was found. Laparoscopic removal of the gestational tissues followed by suturing placed at the bleeding implantation site was performed. Seventeen recent cases of broad ligament ectopic pregnancy were reviewed. With advances in sonography and laparoscopic skills, more cases can be diagnosed in the first trimester and can be safely managed laparoscopically.

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Advanced Intraligamentary Pregnancy: A Report of 2 Cases

Cited by 3 publications

References 2 publications

Broad ligament pregnancy: A case series and literature review

Broad ligament pregnancy: A case series and literature review

Broad Ligament Pregnancy

Broad Ligament Ectopic Pregnancy

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