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Viable Primary Ectopic Pregnancy in the Uterosacral Ligament: A Case Report and Review of the Literature

Ala Aiob , Sharon Avisholm , and Jacob Bornstein

Background: Uterosacral ligament implantation of primary abdominal pregnancies is an extremely rare form of ectopic pregnancy. Methods and findings: We report the case of a rare spontaneous uterosacral ligament conception in a 34-year-old woman. This was the patient’s third pregnancy, and she had no known risk factors for ectopic pregnancy. Vaginal ultrasonography revealed a viable ectopic pregnancy close to the left ovary. Laparoscopy found a concept’s implanted in the left uterosacral ligament. Tissue was bluntly removed and pathologically confirmed as chorionic villi. Conclusion: The rarity of this condition signifies the need for reporting all cases to facilitate optimal clinical management, as well as to aid future research.