Rudra Samar, Gupta Suhasini, Taneja Bal Krishan, Garg Manish
Department of Gynaecology and Obstetrics, Maharishi Markendeshwar Institute of Medical Sciences & Research, Mullana, Ambala, Haryana, India.
BMJ Case Rep. 2013 Aug 7;2013:bcr2013010329. doi: 10.1136/bcr-2013-010329.
A broad ligament pregnancy is an extremely rare condition. The eventuality of such pregnancies reaching full term is even rarer. A full-term broad ligament pregnancy occurring through a rent in a previous lower segment caesarean scar has only been mentioned in literature but not reported. Our patient is an unbooked case, reported to us at 39 weeks of pregnancy. On clinical examination, an ultrasound and an MRI, a diagnosis of abdominal pregnancy was made. Ultimately the final diagnosis was made only on laparotomy. A broad ligament pregnancy was found with a rent in the previous caesarean scar communicating the fetal sac.
阔韧带妊娠是一种极其罕见的情况。此类妊娠达到足月的可能性更为罕见。文献中仅提及过经先前下段剖宫产瘢痕处的裂口发生足月阔韧带妊娠，但尚无报道。我们的患者是一名未预约建档的孕妇，在妊娠39周时前来就诊。经临床检查、超声及磁共振成像检查后，诊断为腹腔妊娠。最终仅通过剖腹探查才做出了最终诊断。发现为阔韧带妊娠，先前剖宫产瘢痕处有一裂口与胎囊相通。
