Department of Obstetrics and Gynecology, The Jikei University School of Medicine, Tokyo, Japan.
J Obstet Gynaecol Res. 2022 Feb;48(2):467-470. doi: 10.1111/jog.15099. Epub 2021 Nov 18.
We present a case of spontaneous pregnancy after laparoscopic surgery for a broad ligament pregnancy. A 34-year-old nulliparous woman presented with 6 weeks of amenorrhea. Due to the presence of an empty uterus with a 10 mm right adnexal mass on transvaginal ultrasonography and elevated serum human chorionic gonadotropin (hCG), ectopic pregnancy was suspected. Upon diagnostic laparoscopy, the presence of a 2 cm broad ligament ectopic pregnancy was confirmed. Laparoscopic removal of the gestational tissues was performed. Six months after surgery, a spontaneous pregnancy was established. At the 40th week of gestation, a cesarean section was performed due to arrested labor, resulting in live birth. To the best of our knowledge, there have been no reports of a spontaneous pregnancy occurring after laparoscopic surgery for broad ligament pregnancy. Laparoscopic surgery as a treatment option for broad ligament pregnancy may be useful in early gestational age because it can be completed without complications.
我们报告了一例腹腔镜手术后自发性妊娠的病例，该患者为阔韧带妊娠。一位 34 岁的初产妇因停经 6 周就诊。经阴道超声检查显示子宫空虚，右侧附件区有 10mm 的肿块，血清人绒毛膜促性腺激素（hCG）升高，故怀疑为异位妊娠。诊断性腹腔镜检查证实存在 2cm 的阔韧带异位妊娠。行腹腔镜下妊娠组织切除术。术后 6 个月，患者自然妊娠。孕 40 周时，因产程停滞行剖宫产术，分娩活婴。据我们所知，尚无腹腔镜手术后阔韧带妊娠自然妊娠的报道。腹腔镜手术作为阔韧带妊娠的治疗选择，在早期妊娠时可能有用，因为它可以在没有并发症的情况下完成。
