Pregnancy in the broad ligament.
Pregnancy in the broad ligament is a rare form of ectopic pregnancy, and one type of abdominal pregnancy. The diagnosis is seldom established before surgery. A 38-year-old, 11-week pregnant woman, gravida 3, para 2, presented with vaginal bleeding. She had undergone two cesarean sections 10 and 6 years earlier. Pregnancy in the right broad ligament was diagnosed from clinical and transvaginal ultrasonographic findings. Emergency laparotomy and excision of a pregnancy in the right broad ligament and right salpingectomy were performed. She was well at discharge and at the 6-week follow up. We suggest the use of clinical and ultrasonographic findings for the suspicion of pregnancy in the broad ligament.
Phupong
Vorapong
V
Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, Thailand. vorapong.p@chula.ac.th
Lertkhachonsuk
Ruangsak
R
Triratanachat
Surang
S
Sueblinvong
Thanasak
T
D000328:Adult; D001956:Broad Ligament / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011269:Pregnancy, Abdominal / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D016216:Ultrasonography, Prenatal; D014592:Uterine Hemorrhage / Q000209:etiology