International journal of surgery case reports · 2024
Case report: Ectopic pregnancy at the level of broad ligament: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Belouad Moad, Benlghazi Abdelhamid, Messaoudi Hamza, Benali Saad, El Hassani Moulay Mehdi, Kouach Jaouad
Аннотация
INTRODUCTION: Ectopic pregnancies are a significant clinical concern, with 90 % occurring in the fallopian tubes. However, they can also manifest in other locations, including the cervix, ovary, and abdominal cavity. Abdominal pregnancies, which constitute less than 1 % of ectopic pregnancies, are associated with considerable morbidity and mortality. Among these, pregnancies located in the broad ligament are particularly rare and can sometimes be carried to term.
CASE PRESENTATION: This case report discusses a 27-year-old patient presenting with a 14-week pregnancy diagnosed in the broad ligament, highlighting the challenges in prenatal diagnosis and the potential complications associated with this condition. The report details the clinical management, including an exploratory laparotomy and subsequent treatment, and underscores the importance of awareness and timely intervention in cases of broad ligament ectopic pregnancies. This case contributes to the limited literature on this uncommon type of ectopic pregnancy and emphasizes the need for further research to improve diagnostic and therapeutic approaches.
CLINICAL DISCUSSION: Ectopic pregnancy of the broad ligament is a relatively rare pathology documented in the literature. Its diagnosis is clinical and paraclinical, especially if ultrasound is performed early. Management is similar to that of an abdominal pregnancy. Maternal prognosis can be difficult if management is less than optimal in terms of surgery, anesthesia, resuscitation and the absence of blood products. This is why first-trimester ultrasound is so important.
CONCLUSIONS: This case underscores the importance of awareness and timely intervention in managing broad ligament ectopic pregnancies, and highlighting the need for further research to improve diagnostic and therapeutic approaches.
CASE PRESENTATION: This case report discusses a 27-year-old patient presenting with a 14-week pregnancy diagnosed in the broad ligament, highlighting the challenges in prenatal diagnosis and the potential complications associated with this condition. The report details the clinical management, including an exploratory laparotomy and subsequent treatment, and underscores the importance of awareness and timely intervention in cases of broad ligament ectopic pregnancies. This case contributes to the limited literature on this uncommon type of ectopic pregnancy and emphasizes the need for further research to improve diagnostic and therapeutic approaches.
CLINICAL DISCUSSION: Ectopic pregnancy of the broad ligament is a relatively rare pathology documented in the literature. Its diagnosis is clinical and paraclinical, especially if ultrasound is performed early. Management is similar to that of an abdominal pregnancy. Maternal prognosis can be difficult if management is less than optimal in terms of surgery, anesthesia, resuscitation and the absence of blood products. This is why first-trimester ultrasound is so important.
CONCLUSIONS: This case underscores the importance of awareness and timely intervention in managing broad ligament ectopic pregnancies, and highlighting the need for further research to improve diagnostic and therapeutic approaches.