Full-Term Viable Broad Ligament Pregnancy Surgically Managed with Favorable Feto-Maternal Outcome

Excerpt

Mrs S, 30 years old, G₄ P₃₊₀ at 38 weeks of gestation, was admitted to the emergency ward on September 16, 2007, with complaints of mild pain in the abdomen off and on for the past 3 days. She had no other complaints. She was totally unsupervised with a grossly uneventful antenatal period except that she had a significant history of undergoing bilateral tubal lapro-ligation in the periovulatory phase in a lapro-ligation Camp. On clinical examination, her vitals were stable and the fundal height was corresponding to “32 weeks of gestation” baby was in transverse lie and there was oligohydramios. FHS was 136 beats/min regular. She was not in labour. Non-stress test was reactive. Ultrasonography revealed a single live pregnancy corresponding to 36 weeks of gestation, Type-III placenta previa with grade-3 maturity, and AFI was 8 cms with no obvious congenital anomalies. Her Hb % was 8 g% and other biochemical parameters were within the normal range. …