Broad Ligament Pregnancy: A Rare Case Report

Abstract

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

Intraligamentary Pregnancy- A Rare Obstetric Event

“…There are also reports of advanced pregnancies delivered at 30 weeks 10 . The main challenge is to maintain haemostasis after separation of placenta from peritoneal surface and other structures, 12 which we faced in our case also.…”

“…However, in haemodynamically stable patients, removal of small broad ligament pregnancies can be considered laparoscopically 11 . But laparoscopy may have to be converted into laparotomy as done in case report of Siddiqui M et al 12 . Varieties of clinical presentations and outcomes were reviewed in Cheung CS et al study report 2 .…”