Key Words: Broad ligament ectopic, Ectopic pregnancy, Intraligamentary pregnancy, Laparoscopy, Sonography
Charleen Sze-yan Cheung, MBBS, Vincent Y.T. Cheung, MBBSDepartment of Obstetrics and Gynaecology, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China (both authors).
ABSTRACTBroad ligament ectopic pregnancy is a rare form of ectopic pregnancy. A 30-year-old nulliparous woman with a history of right salpingectomy for tubal pregnancy presented with vaginal spotting at 6 weeks’ amenorrhea. Pelvic sonography revealed a possible viable right tubal stump pregnancy. On laparoscopy, a 3-cm broad ligament ectopic pregnancy was found. Laparoscopic removal of the gestational tissues followed by suturing placed at the bleeding implantation site was performed. Seventeen recent cases of broad ligament ectopic pregnancy were reviewed. With advances in sonography and laparoscopic skills, more cases can be diagnosed in the first trimester and can be safely managed laparoscopically.