Intraligamentous pregnancy or broad ligament pregnancy is a rare form of ectopic pregnancy. Here, we report a case of successful treatment of intraligamentous pregnancy with laparoscopic surgery. This case is of a 30 year old woman, gravida 4, para 1, abortus 2. Based on clinical observations, she was diagnosed with right adnexal ectopic pregnancy, and laparoscopic surgery was performed. During surgery, no abnormal signs were observed within the uterus, ovaries or fallopian tubes. However, there was a 1-2 cm mass with an abnormal colour in her right broad ligament. The contents of the mass were excised laparoscopically. Histological studies confirmed that the tissues in the mass were chorionic villi and that the final diagnosis was intraligamentous pregnancy.

Keywords: Intraligamentous, Pregnancy, Laparoscopic, Treatment

INTRODUCTION

Intraligamentous pregnancy or pregnancy in the broad ligament is a rare form of ectopic pregnancy. It occurs in 1 per 300 ectopic pregnancies [1]. Although laparotomy is required in most instances, a few case reports describe laparoscopic excision of early small gestational sac [2]. Here, intraligamentous pregnancy successfully treated with laparoscopic surgery is presented.

CASE PRESENTATION

A 30 year old woman, with an obstetric history, gravida 4, para 1, abortus 2 (one elective several years earlier, and one spontaneous two months before) and had no unusual personal or family clinical history. At 5 week, 5 day pregnant following spontaneous conception, she presented with slight bloody discharge. A transvaginal ultrasonography revealed an empty endometrial cavity. There was, however, a fetal sac in the right adnexal region. Serum β-human chorionic gonadotropin (β-HCG) level was 5878 mIU/ml. Based on clinical observations right adnexal ectopic pregnancy was diagnosed.

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