全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Intraligamentary Pregnancy with Recurrent Urine Retention: Case Report

DOI: 10.4236/ojog.2021.115048, PP. 516-522

Keywords: Intraligamentary Pregnancy, Urine Retention, Ultrasonography

Full-Text   Cite this paper   Add to My Lib

Abstract:

An intraligamentary pregnancy is an extremely rare form of ectopic pregnancy, with only a few cases reported. We report a 20-year-old woman who had an ongoing pregnancy at about 22 weeks gestation, consulted for recurrent urinary retention and severe lower abdominal pain of two days duration. Pelvic ultrasonography revealed an extrauterine gestation of 19 weeks and four days on the left adnexal region. Exploratory laparotomy was performed that found left intraligamentary pregnancy (unruptured) measured 20 - 25 cm across, attached posteriorly to the bowel (sigmoid colon) and extended to the pouch of douglas impinging on the bladder base. Resection of ectopic pregnancy was successfully performed, urine retention resolved, and the patient was discharged with no postoperative complications. Early recognition of this rare form of ectopic gestation is of considerable importance because of the risk of a life-threatening haemorrhagic complication necessitating emergency surgical intervention.

References

[1]  Carusi, D. (2019) Pregnancy of Unknown Location: Evaluation and Management. Seminars in Perinatology, 43, 95-100.
https://doi.org/10.1053/j.semperi.2018.12.006
[2]  Cordero, D.R., Adra, A., Yasin, S. and O’Sullivan, M.J. (1994) Intraligamentary Pregnancy. Obstetrical & Gynecological Survey, 49, 206-209.
https://doi.org/10.1097/00006254-199403000-00026
[3]  Ameer, M.A., Fagan, S.E., Sosa-Stanley, J.N. and Peterson, D.C. (2021) Anatomy, Abdomen and Pelvis, Uterus.
http://www.ncbi.nlm.nih.gov/pubmed/29262069
[4]  Ade-Ojo, I.P., Akintayo, A.A., Afolayan, J.M., Aduloju, O.P. and Olagbuji, B.N. (2016) Intraligamentary Extrauterine Pregnancy Delivered at Term: A Case Report and Review of Literature. African Journal of Reproductive Health, 20, 104-108.
https://doi.org/10.29063/ajrh2016/v20i1.11
[5]  Gao, J., Liu, L., Fang, J. and Wang, Y. (2021) Broad Ligament Pregnancy: A Case Series and Literature Review. Journal of Obstetrics and Gynaecology Research, 47, 442-445.
https://doi.org/10.1111/jog.14564
[6]  Suzuki, S., Takahashi, T., Ota, K., Nishimura, K., Fukase, M., Watanabe, N., et al. (2019) Successful Laparoscopic Treatment of an Abdominal Pregnancy Implanted in the Utero-Ovarian Ligament: A Case Report of a Rare Form of Ectopic Pregnancy. Journal of Obstetrics and Gynaecology, 39, 579-580.
https://doi.org/10.1080/01443615.2018.1534816
[7]  Rokhgireh, S., Gorginzadeh, M., Mehdizadehkashi, A., Tahermanesh, K. and Alizadeh, S. (2021) Broad Ligament Pregnancy in the Presence of an Intrauterine Contraceptive Device: A Case Report. International Journal of Surgery Case Reports, 79, 421-423.
https://doi.org/10.1016/j.ijscr.2021.01.080
[8]  Poole, A., Haas, D. and Magann, E.F. (2012) Early Abdominal Ectopic Pregnancies: A Systematic Review of the Literature. Gynecologic and Obstetric Investigation, 74, 249-260.
https://doi.org/10.1159/000342997
[9]  Vierhout, M.E. and Wallenburg, H.C. (1985) Intraligamentary Pregnancy Resulting in a Live Infant. American Journal of Obstetrics & Gynecology, 152, 878-879.
https://doi.org/10.1016/S0002-9378(85)80081-8
[10]  Chouinard, M., Mayrand, M.-H., Ayoub, A., Healy-Profitós, J. and Auger, N. (2019) Ectopic Pregnancy and Outcomes of Future Intrauterine Pregnancy. Fertility and Sterility, 112, 112-119.
https://doi.org/10.1016/j.fertnstert.2019.03.019
[11]  Audifred Salomón, J.R., Herrera Ortiz, A., González Medrano, M.G. and Estrada Rivera, S.F. (2013) Ectopic Intraligamentary Pregnancy. Revista de Ginecología y Obstetricia de México, 81, 211-214.
[12]  Azhar, E., Green, L., Mohammadi, S. and Waheed, A. (2020) Ruptured Right Broad Ligament Ectopic Pregnancy in a Patient with Prior Right Salpingo-Oophorectomy: A Case Report. Cureus, 12, Article No. e8276.
https://doi.org/10.7759/cureus.8276
[13]  Asah-Opoku, K., Oppong, S.A., Ameme, D.K., Nuamah, M.A., Mumuni, K., Yeboah, A.O., et al. (2019) Risk factors for Ectopic Pregnancy among Pregnant Women Attending a Tertiary Healthcare Facility in Accra, Ghana. International Journal of Gynecology & Obstetrics, 147, 120-125.
https://doi.org/10.1002/ijgo.12928
[14]  Rudra, S., Gupta, S., Taneja, B.K. and Garg, M. (2013) Full-Term Broad Ligament Pregnancy. Case Reports, 2013, Article ID: bcr2013010329.
https://doi.org/10.1136/bcr-2013-010329
[15]  Kirk, E. (2012) Ultrasound in the Diagnosis of Ectopic Pregnancy. Clinical Obstetrics and Gynecology, 55, 395-401.
https://doi.org/10.1097/GRF.0b013e31824e35fe
[16]  Sassi, A., Dimassi, K., Ben Slama, S., Triki, A. and Lahmar, A. (2018) A Broad Ligament Pregnancy Successfully Managed by Laparoscopy. Journal of Obstetrics and Gynaecology, 38, 423-424.
https://doi.org/10.1080/01443615.2017.1342231

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133