Issue: Vojnosanit Pregl 2017; Vol. 74 (No. 2)

Unruptured retroperitoneal pregnancy implanted in the left broad ligament: A case report

Authors:
Ranko M. Kutlešić, Bojan Lukić, Marija S. Kutlešić, Jasmina Popović, Milan Stefanović, Predrag Vukomanović, Goran Lilić

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Introduction. Retroperitoneal ectopic pregnancy is extremely
rare, but potentially fatal condition due to possible massive
hemorrhage, representing a great challenge to clinicians. Case
report. We presented early retroperitoneal pregnancy in a patient
with previous caesarean section, diagnosed at the sixth
gestational week, located in the left broad ligament, primary
treated by laparoscopy, which had to be converted to laparotomy
due to massive intraoperative bleeding from the implantation
site. Conclusion. High index of suspicion, combined
with carefully interpreted clinical and ultrasound findings are
crucial for the timely diagnosis of retroperitoneal pregnancy,
before the occurrence of severe bleeding. The rising, even plateau
of serum β-human chorionic gonadotropin (β-HCG) levels
without identification of uterine or ectopic (tubal) pregnancy
should cause suspicion on ectopic pregnancy in unusual
location.