A broad ligament pregnancy is a very uncommon ectopic pregnancy with a high maternal and perinatal mortality rate. It’s much less likely that such pregnancies will be carried to term. Ultrasonography can aid in diagnosis, however it is normally done during a laparotomy. G2P1 came to see us with stomach pain at 39 weeks of pregnancy, which was an unscheduled visit. On ultrasound, a live foetus was discovered with severe intrauterine growth restriction (estimated foetal weight of 1.98 kg), transverse lying, severe oligohydramnios, and full placenta praevia. The patient was taken to the operating room for a caesarean section. The foetus was removed alive and the broad ligament, placenta, left fallopian tube, and ovary were excised after an intraoperative diagnosis of left broad ligament pregnancy. The post-operative time went without a hitch. To avoid a negative foetal or maternal outcome, a high index of suspicion and rapid therapeutic intervention are required.
Author (S) Details
Vidhi J. Shah
Department of Obstetrics and Gynecology, Saraswati Hospital, Badsam Bypass Road, Rajasthan, India.
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