Singh Meenakshi, Pandey Nihita, Biswas Ratna
Department of Obstetrics and Gynaecology, Lady Harding Medical College, Delhi 110001, India.
Matern Fetal Med. 2021 Aug 31;5(4):253-256. doi: 10.1097/FM9.0000000000000122. eCollection 2023 Oct.
Broad ligament pregnancy is defined as gestation that grows in the space formed by anterior and posterior peritoneal folds of the broad ligament. We report a case of 30 years old lady admitted to our hospital with the diagnosis of gravida 2, para 1, live birth 1, with 24 weeks of gestation with low lying placenta with anhydramnios. She was taken up for lower segment cesarian section at 28 weeks gestation in view of low lying placenta with chorioamnionitis. The broad ligament pregnancy was diagnosed peroperatively after identifying the anatomical relationship of the pregnancy. Sac was excised and margins secured after extraction of the baby and placenta. Patient had an uneventful postoperative period. Broad ligament pregnancy may be missed in antenatal period but in cases of displaced cervix, early onset unexplained anhydramnios, and failed induction of labor, it may raise high suspicion. Laparotomy/ laparoscopic management is the mainstay of management of broad ligament pregnancy.
阔韧带妊娠是指妊娠物在阔韧带前后腹膜皱襞形成的间隙内生长。我们报告一例30岁女性患者，因诊断为孕2产1，活产1，妊娠24周，胎盘低置且羊水过少入院。鉴于胎盘低置合并绒毛膜羊膜炎，患者于妊娠28周接受下段剖宫产。术中通过确定妊娠物的解剖关系诊断为阔韧带妊娠。取出胎儿和胎盘后，切除囊袋并缝合边缘。患者术后恢复顺利。阔韧带妊娠在产前可能被漏诊，但在宫颈移位、早期不明原因羊水过少以及引产失败的情况下，可能会引起高度怀疑。剖腹手术/腹腔镜手术是阔韧带妊娠治疗的主要方法。
