PREGNANCY IN THE BROAD LIGAMENT- A RARE CASE STUDY

Pregnancy in the broad ligament is a rare form of ectopic pregnancy. The diagnosis is seldom established before surgery. A 27 year old pregnant woman, gravida 3, abortion 2, with 39 weeks of gestation, presented with loss of fetal movements for 2 days .She had 2 previous spontaneous abortions, one at 3rd month of pregnancy and second at 2nd month of pregnancy. Her clinical examination revealed stable vital parameters and a uterine size corresponding to 28 weeks with absent fetal heart sounds. Ultra sonogram revealed an empty uterine cavity, with a single dead fetus in the abdominal cavity very close to the left side of the uterus .A provisional diagnosis of 1. Rupture uterus 2. Secondary abdominal pregnancy was made and proceeded with laparotomy which revealed left broad ligament pregnancy. Patient had uneventful post operative recovery.