TITLE:
Intraligamentary Pregnancy with Recurrent Urine Retention: Case Report
AUTHORS:
Salma Abdi Mahmoud, Adam Munkaila, Ali M. Ussi, Chukwuma J. Okafor, Gumanga Solomon, Mumuni Kareem, Ali Said Yussuf, Osman Saia
KEYWORDS:
Intraligamentary Pregnancy, Urine Retention, Ultrasonography
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.5,
May
14,
2021
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.