Primary hepatic pregnancy

Chui, A.K.K; Lo, KW; Choi, Pui–Wah; Sung, Matthew C. C.

doi:10.1046/j.1440-1622.2001.02085.x

Cited by 29 publications

(16 citation statements)

References 11 publications

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“…There were 13 reports of the abdominal pregnancy being implanted on the liver with 11 of 13 cases [125,126,128,129,131,132,133,134,135,136,137] involving the right lobe of the liver and 2 cases involving the caudate lobe [127] and near the falciform ligament [130]. The average maternal age was 29 with a gestational age of 9 weeks 0 days with a range of 4–14 weeks and parity of 3.7.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Early Abdominal Ectopic Pregnancies: A Systematic Review of the Literature

Poole¹,

Haas

Magann

2012

Gynecol Obstet Invest

130

145

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Objective: To define abdominal ectopic pregnancy outcomes by both location and treatment. Methods: Literature review of abdominal pregnancies from 1965 to August of 2009. Ectopic pregnancy exclusions were interstitial, tubal, cervical, ovarian, or those beyond 20 weeks at diagnosis/treatment. Results: There were 511 cases identified with 225 meeting the inclusion criteria. There were 7 maternal deaths (3.0%) with 18 (8%) of the early abdominal ectopic pregnancies occurring with an intrauterine device in place. Mean gestational age at the time of treatment was 10 weeks 0 days and mean maternal age was 29.7 years. The average blood loss associated with treatment was 1,450 ml. The top three sites of early abdominal ectopic pregnancies were pouches around the uterus (24.3%), serosal surface of the uterus and tubes (23.9%), and multiple sites (12.8%). Primary surgical management was performed in 208 cases (87.8%). Nonsurgical adjuvant or primary therapy included intramuscular methotrexate, intralesional methotrexate, intracardiac KCl, and artery embolization. Conclusion: Abdominal pregnancies should be considered in all patients until an intrauterine location can be confirmed. Understanding treatment options by pregnancy location may be helpful in the management of this potentially life-threatening condition.

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Section: Resultsmentioning

confidence: 99%

“…Staged surgery was needed in 1 case with packs left in place because of persistent bleeding, with removal the following day [127]. Another patient had an omental graft due to persistent bleeding from the placental attachment on the liver [131.…”

Section: Resultsmentioning

confidence: 99%

Early Abdominal Ectopic Pregnancies: A Systematic Review of the Literature

Poole¹,

Haas

Magann

2012

Gynecol Obstet Invest

130

145

View full text Add to dashboard Cite

show abstract

“…Other methods include direct injection of methotrexate into the gestational sac at the time of laparotomy and preoperative arterial embolisation before laparotomy, followed by post-operative methotrexate administration for the retained placenta. [7][8][9] Management should therefore be tailored to individuals based on surgical findings, the patient's clinical state and the skill of the operator.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic management of primary hepatic pregnancy

Chin

Wee

Chern

2010

Aust NZ J Obst Gynaeco

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A 30-year-old woman presented with epigastric pain with elevated serum human chorionic gonadotropin level (hCG), absence of intrauterine gestational sac and absence of an abnormal adnexal mass on pelvic ultrasonography. Laparoscopy revealed a ruptured hepatic ectopic pregnancy. This was removed by laparoscopic suctioning and haemostasis secured with Surgicel((R)) Fribrilla Absorbable Hemostat. Intramuscular methotrexate was administered post-operatively. Patient recovered uneventfully and serum hCG returned to normal.

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“…A pregnancy in the liver, sigmoid colon, spleen, diaphragm, pancreas, obturator foramen, peritoneum of pelvis have also been reported. 3,4 Laparotomy for abdominal pregnancy is among the most difficult and dangerous operations as severe uncontrollable hemorrhage occurs during the separation of placenta. 5 This is a case report of a broad ligament pregnancy diagnosed during laparotomy following a failed medical termination of pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Broad Ligament Pregnancy: Lessons Learnt

Lnu¹,

Agarwal²,

Viswanath³

et al. 2014

Journal of South Asian Federation of Obstetrics and Gynaecology

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Abdominal pregnancy is a rare obstetric condition seen by the obstetricians. Its diagnosis is usually difficult and management is a matter of debate. A 39-year-old multigravida with 20 weeks gestation complicated by pregnancy-induced hypertension, diabetes mellitus and anemia with previous cesarean section was admitted. She was not aware of her pregnancy earlier and she desired termination of pregnancy. But, termination of pregnancy failed inspite of using all possible methods of inducing labor. Diagnosis of abdominal pregnancy was made on by transvaginal ultrasound and proceeded with laparotomy. Left broad ligament pregnancy was found and the sac with fetus extracted. However, due to uncontrollable bleeding from broad ligament during placenta separation and hysterectomy was proceeded in this lady. We present our experience with the diagnosis and management of this rare case.

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Primary hepatic pregnancy

Cited by 29 publications

References 11 publications

Early Abdominal Ectopic Pregnancies: A Systematic Review of the Literature

Early Abdominal Ectopic Pregnancies: A Systematic Review of the Literature

Laparoscopic management of primary hepatic pregnancy

Broad Ligament Pregnancy: Lessons Learnt

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