A rare form of ectopic pregnancy on mesoovarium; case report

Objective

Broad ligament pregnancy also termed as intraligamentous pregnancy is a rare form of ectopic pregnancy. Incidence is reported as 1 in 300 ectopic pregnancies.

Case(s)

A 34-year-old, multigravida with 3 previous cesarean section before presented at 8 weeks gestation with intermittent suprapubic pain and vaginal bleeding. She had undergone three cesarean sections before. An abdominal ultrasound examination showed free fluid and 3x4 cm left adnexal mass in her abdomen. She was hospitalized for follow-up examination and β–hcg level was:10290, the next day she had the symptoms of acute abdomen and a fall in hematocrit level so she was taken for laparotomy with the diagnosis of ectopic pregnancy under general anestesia. Perop she was found to have a ruptured 3x4cm bleeding site from left mesoovarium. It was found to be an intraligamenter pregnancy,primary abdominal pragnancy.After removal of the lesion, β-hcg levels decreased.Hystopathological confirmation was done.

Conclusion

A broad ligament pregnancy is an extremely rare condition; a rare form of ectopic pregnancy, and one type of abdominal pregnancy. The diagnosis is seldom established before surgery. We suggest the use of clinical and ultrasonographic findings for the suspicion of pregnancy in the broad ligament because of high incidence of mortality in case of delay in diagnosis.

Keywords

Ectopic, intraligamenter pregnancy

-

	File/Dsecription
	Figure 1 Perop scene of intraligamenter pregnancy