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

Author(s):  
Shinnosuke Iwai ◽  
Yuta Kasahara ◽  
Hiroshi Kishi ◽  
Takuma Sato ◽  
Atsuko Kusuhara ◽  
...  

2020 ◽  
Vol 11 (6) ◽  
pp. 710-711
Author(s):  
M. Ginzburg

To the Vorrat l. a woman was brought in a state of collapse with a diagnosis of an ectopic pregnancy; pulse 144, barely perceptible. The rupture occurred in 18 hours, there were fainting, vomiting. The abdomen is not distended, soft, the tumor cannot be felt from the outside, and per vaginam examination is not done to speed up the operation. When the abdomen was opened, the tissues were found bloodless: none of the vessels showed blood; a few pounds of liquid blood spilled out of the peritoneal cavity; clamps were placed on the stretched right fallopian tube and broad ligament, and the fallopian tube was excised along with the ovary; the rupture was near the uterus. The operated woman recovered, although W. did not count on it.



2014 ◽  
Vol 18 (4) ◽  
Author(s):  
Charleen Sze-yan Cheung ◽  
Vincent Y.T. Cheung


2017 ◽  
Vol 22 (1) ◽  
pp. 80-83 ◽  
Author(s):  
Ahmed M. Abbas ◽  
Amera M. Sheha ◽  
Shymaa S. Ali ◽  
Amr M. Maghraby ◽  
Esraa Talaat




2019 ◽  
Vol 31 (1) ◽  
pp. 60-63
Author(s):  
Md Akbar Hossain ◽  
Farida Begum ◽  
Sultana Jahan ◽  
Israt Sharmin ◽  
Nazifatur Raihana

Introduction: Broad ligament pregnancy also known as inter ligamentous pregnancy is a rare type of ectopic pregnancy. It is one type of secondary abdominal pregnancy. Although ultrasonography is usually helpful in making the diagnosis but it is mostly established during laparotomy. Very few successful live births have been reported in this condition, where such pregnancies reached term and with live birth of a baby. Case Report: A case of 30 year old 2nd gravida of 38 weeks gestation with lower abdominal pain for 20 hours was admitted into Sher-E-Bangla Medical College Hospital, Barishal; Bangladesh. She was suggested for caesarean section as the ultrasonogram revealed transverse lie with complete placenta praevia. Intraoperative diagnosis of right sided broad ligament pregnancy was made and an incision was given on the anterior leaf of the broad ligament and a male live fetus was extracted. Post operative period was uneventful. Both mother and baby were discharged on seventh postoperative day in good health condition. Discussion: Broad ligament pregnancy usually results from rupture of tubal pregnancy through the tubal serosa and the mesosalpinx, with secondary implantation of trophoblast between the leaves of broad ligament. Incidence of broad ligament pregnancy is reported as 1 in 300 ectopic pregnancies. The prognosis is poor with the risk of dying from an abdominal pregnancy is 7.7 times higher than from other forms of ectopic pregnancy and often results from a delay in diagnosis. Trans-vaginal rather than transabdominal ultrasonography is superior in the evaluation of ectopic pregnancy. If there is no intrauterine pregnancy on ultrasonography and the ectopic sac is beside the lower part of the uterus a strong suspicion of broad ligament ectopic should be considered. Very rarely such pregnancy may reach up to term. Bleeding from placental implantation site is the most life-threatening complication during laparotomy. Conclusion: Abdominal pregnancy with resultant healthy newborn is very rare. High level of suspicion, careful clinical and ultrasound examinations are the routine means of diagnosis. Bleeding is the single most important life-threatening complication for the mother. Early diagnosis and proper management are vital in order to decrease maternal morbidity. Medicine Today 2019 Vol.31(1): 60-63



2018 ◽  
Vol 25 (2) ◽  
pp. 314-315 ◽  
Author(s):  
Yonghee K. Cho ◽  
Susan Henning ◽  
Gerald Harkins


2015 ◽  
Vol 4 (1) ◽  
pp. 45 ◽  
Author(s):  
Chilekampalli Rama ◽  
Goduguchintha Lepakshi ◽  
SangarajuNarasimha Raju


2000 ◽  
Vol 196 (5) ◽  
pp. 329-332 ◽  
Author(s):  
Chariklia Kouvidou ◽  
Maria Karayianni ◽  
Georgia Liapi-Avgeri ◽  
Helen Toufexi ◽  
Helen Karaïossifidi


Author(s):  
Shweta Mittal ◽  
Vinita Gupta ◽  
Dolly Chawla ◽  
Seema Pundir

Broad ligament ectopic pregnancy is a rare and serious form of extrauterine pregnancy with a high risk of maternal mortality. There are no specific clinical features. Ultrasonography may help in diagnosis but definitive diagnosis is made only during surgery. A 20-year-old woman with previous 2 abortions presented with acute abdomen. She had no history of amenorrhoea but there was history of two episodes of bleeding in the last month at an interval of 14 days, each episode lasting for two-three days. The last episode of bleeding was 10 days back. Her urine pregnancy test was done and it was positive. There was marked abdominal tenderness with guarding and rigidity. Per vaginal examination revealed marked tenderness in the right fornix and cervical motion tenderness, uterus size could not be assessed due to tenderness.  It was diagnosed as a case of ruptured ectopic pregnancy. Since she was haemodynamically unstable, emergency laparotomy was done. She had a right sided broad ligament ectopic pregnancy which had ruptured. The tissue was completely removed and haemostatic sutures were taken. High index of clinical suspicion, early diagnosis and prompt surgery is the key to management.



BMJ ◽  
1890 ◽  
Vol 1 (1531) ◽  
pp. 1044-1044
Author(s):  
L. Tait


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