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Online ISSN
1305-3124

Established
1993

Editors-in-Chief
​Cihat Şen, ​Nicola Volpe

Editors
Daniel Rolnik, Mar Gil, Murat Yayla, Oluş Api

Statistics Editor
Resul Arısoy

A rare form of ectopic pregnancy on mesoovarium; case report

Ozge Deniz Gunduz, Alev Atis, Arzu Kublay, Tolga Karacan, Ali Gedikbaşı

Article info

A rare form of ectopic pregnancy on mesoovarium; case report. Perinatal Journal 2014;22(3):SE5 DOI: 10.2399/prn.14.S001084

Author(s) Information

Ozge Deniz Gunduz,
Alev Atis,
Arzu Kublay,
Tolga Karacan,
Ali Gedikbaşı

  1. Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi Kadın Doğum Kliniği- İstanbul TR
Correspondence

Ozge Deniz Gunduz, Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi Kadın Doğum Kliniği- İstanbul TR,

Publication History
Conflicts of Interest

No conflicts declared.

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

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File/Dsecription
Figure 1
Perop scene of intraligamenter pregnancy