Combined surgical and medical management of a broad ligament ectopic pregnancy: A case report

Broad ligament ectopic pregnancies rare. Several case reports illustrate treatment with laparoscopy. A 31-year-old woman, gravida 2 para 1, presented at 6 weeks 6 days of gestation with vaginal bleeding. She had a β-hCG level of 7424 IU/L and ultrasound showed a 1.8 cm ectopic pregnancy with fetal c...

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Bibliographic Details
Published in:Case reports in women's health 2021-07, Vol.31, p.e00316, Article e00316
Main Authors: Compadre, Amanda J., Ukoha, Erinma P., Zhang, Wenjia
Format: Article
Language:English
Subjects:
Ectopic
Laparoscopy
Pregnancy
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Summary:Broad ligament ectopic pregnancies rare. Several case reports illustrate treatment with laparoscopy. A 31-year-old woman, gravida 2 para 1, presented at 6 weeks 6 days of gestation with vaginal bleeding. She had a β-hCG level of 7424 IU/L and ultrasound showed a 1.8 cm ectopic pregnancy with fetal cardiac activity in the left adnexa. Diagnostic laparoscopy revealed a left broad ligament ectopic pregnancy. The products of conception were removed surgically, and she received prophylactic two-dose methotrexate. Her β-hCG returned to non-pregnant levels within one month. This is the first case report to describe laparoscopy with postoperative prophylactic methotrexate for successful treatment of a broad ligament pregnancy. This treatment protocol with methotrexate can be considered in future cases. •Broad ligament ectopic pregnancies are rare and often diagnosed intraoperatively.•Several case reports document successful treatment of these pregnancies with surgery.•Prophylactic methotrexate can be considered if there is concern for retained trophoblastic tissue.
ISSN:2214-9112
2214-9112
DOI:10.1016/j.crwh.2021.e00316