Mohaisen Mais Alreem Basel, Shaban Rema Ahmad, Hammoud Rehab Mohammad Dib, Al Khoubie Nour Samir, Al Ahmad Marwa, Sleiay Bilal
Faculty of Medicine, Al-Sham Private University, Damascus, Syrian Arab Republic.
Department of Pharmaceutical Sciences, Faculty of Science, Eberhard Karls Universität Tübingen, Tübingen, Germany.
J Surg Case Rep. 2024 Dec 2;2024(12):rjae755. doi: 10.1093/jscr/rjae755. eCollection 2024 Dec.
Ectopic pregnancy, the implantation of a fertilized zygote outside the uterine cavity, presents with abdominal pain and vaginal bleeding. Diagnosis relies on clinical signs, and treatment involves surgery or methotrexate in selected cases. A 24-year-old woman at 37 weeks of gestation underwent elective cesarean delivery under general anesthesia, revealing an unexpected broad ligament ectopic pregnancy. The live fetus and placenta were successfully delivered without complications. The study reports a rare asymptomatic broad ligament ectopic pregnancy until 37 weeks, diagnosed by laparotomy-treatment involved removing the ovary and placenta and preserving the uterus. A healthy male baby and mother recovered well. This rare ectopic pregnancy, with placental implantation in the broad ligament, resulted in a successful cesarean delivery of a healthy infant and complication-free recovery, highlighting the importance of timely diagnosis and skilled surgical intervention.
异位妊娠是指受精卵在子宫腔外着床，表现为腹痛和阴道出血。诊断依赖于临床体征，治疗在某些情况下包括手术或甲氨蝶呤。一名妊娠37周的24岁女性在全身麻醉下接受择期剖宫产，术中发现意外的阔韧带异位妊娠。活胎和胎盘成功娩出，无并发症。该研究报告了一例罕见的无症状阔韧带异位妊娠，直至妊娠37周，通过剖腹探查诊断——治疗包括切除卵巢和胎盘并保留子宫。一名健康男婴和母亲恢复良好。这种罕见的异位妊娠，胎盘植入阔韧带，成功剖宫产分娩出一名健康婴儿且恢复过程无并发症，突出了及时诊断和熟练手术干预的重要性。
