Primary hepatic pregnancy: report of a case treated with laparoscopic approach and review of the literature
| Autor: | Ricciarda Raffaelli, Fabio Ghezzi, Simone Garzon, Umberto Montin |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Laparoscopic surgery
Adult medicine.medical_specialty medicine.medical_treatment Abdominal pregnancy ectopic pregnancy hemoperitoneum hepatic pregnancy laparoscopy Female Hemoperitoneum Humans Laparoscopy Liver Pregnancy Pregnancy Ectopic Treatment Outcome 03 medical and health sciences 0302 clinical medicine Obstetrics and gynaecology medicine Vaginal bleeding 030212 general & internal medicine 030219 obstetrics & reproductive medicine medicine.diagnostic_test Ectopic pregnancy business.industry Obstetrics and Gynecology medicine.disease Ectopic Surgery Reproductive Medicine medicine.symptom business |
| Zdroj: | Fertility and sterility. 110(5) |
| ISSN: | 1556-5653 |
| Popis: | Objective To report a case of primary hepatic pregnancy complicated by acute hemoperitoneum that was treated with a laparoscopic approach. Design Case report and review of the literature. Setting Obstetrics and gynecology unit of a university hospital. Patient(s) A 37-year-old pregnant woman who presented with vaginal bleeding. Intervention(s) Diagnosis by abdominal ultrasound and computed tomography. Main Outcome Measure(s) Patient recovery after minimally invasive laparoscopic surgery and monitoring. Result(s) A hepatic ectopic pregnancy complicated by hemoperitoneum was diagnosed. The hepatic pregnancy was surgically removed via laparoscopy through a retroperitoneal approach, and the patient's human chorionic gonadotropin level was subsequently monitored. The patient's postoperative course was uneventful, and the serum human chorionic gonadotropin level dropped to zero. Conclusion(s) Only 39 cases of hepatic pregnancy have been reported in the literature, making it an exceptional category among abdominal pregnancies. Hepatic localization should be ruled out in cases of unknown pregnancy location. Abdominal ultrasound has a key role detecting hepatic localization and excluding other abdominal implantation sites. Laparoscopic surgery represents a feasible approach for the treatment of first trimester hepatic pregnancies. |
| Databáze: | OpenAIRE |
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