Primary hepatic pregnancy is a type of abdominal pregnancy which is extremely rare where the site of implantation is in the liver and it is associated with a very high mortality rate.
How does a hepatic pregnancy happen?
An abdominal pregnancy occurs when a fertilized egg implants on an organ or tissues in a woman’s abdomen. In the United States, one to two percent of pregnancies are ectopic pregnancies, caused when the fertilized egg implants somewhere other than the uterus.
What are the surgical options for a hepatic pregnancy?
Common surgical procedures used include hepatic artery ligation, lobectomy, omental transplantation, and liver packing.
Can a pregnancy occur in the liver?
Hepatic pregnancy is a rare type of abdominal cavity pregnancy. The majority of the previously reported cases of hepatic pregnancy involved liver rupture and bleeding (38) and the consequences were very dangerous.
Can ectopic pregnancy cause liver problems?
Disease incidence. Ectopic pregnancy in the fallopian tube is a very common form of extrauterine pregnancy. Ectopic pregnancy in the abdomen is seldom seen, accounting for almost one percent of all ectopic pregnancies (1). But ectopic pregnancy in the liver is exceptionally rare.
Where else can Babies implant?
This is also called a tubal pregnancy. In rare cases, the fertilized egg can implant in a woman’s cervix, or in a scar from a previous Caesarean section, according to the Mayo Clinic. Rarely, it can also attach directly to a woman’s ovary, or to her cervix, or to an organ in the abdomen, such as the abdominal wall.
Can a baby grow without a uterus?
Spoiler alert: No, you can’t get pregnant without a uterus, but you can grow a fetus somewhere else if you have one. Ok, let me make this very clear. There’s a difference between ectopic pregnancy (A fertilized egg implants in other place that its not the endometrial layers of the uterus) and this question.
Do you need a D&C after ectopic pregnancy?
Conclusion. D&C to look for presence versus absence of chorionic villi has previously had—and in some cases, may continue to have—a role in the diagnosis of ectopic pregnancy, particularly in patients with contraindications to systemic methotrexate.
How long does it take to heal after ectopic pregnancy surgery?
Most women can leave hospital a few days after surgery, although it can take 4 to 6 weeks to fully recover. If your fallopian tube has already ruptured, you’ll need emergency surgery.
Can an ectopic pregnancy be seen on an ultrasound?
Most ectopic pregnancies can be detected using a pelvic exam, ultrasound, and blood tests.
What are the symptoms of liver problems in pregnancy?
The patient who is pregnant or recently pregnant may present liver problems in pregnancy. Depending on the disease, a constellation of symptoms can be found. Presentations include abnormal liver tests, pruritus, nausea, vomiting, jaundice, right upper quadrant pain, ascites, and gastrointestinal bleeding.
Does liver enlarge during pregnancy?
2. Pregnancy causes liver growth by hepatocyte hypertrophy.
How do you exclude an ectopic pregnancy?
A physician should not rely on any combination of physical examination findings to exclude ectopic pregnancy. Ultrasound examination should be part of the initial evaluation of possible ectopic pregnancy.
What are the signs of abdominal pregnancy?
Symptoms of an abdominal pregnancy are very nonspecific and often include abdominal pain, nausea, vomiting, palpable fetal parts, fetal mal presentation, pain on fetal movement, and displacement of the cervix.
Is an abdominal pregnancy viable?
Abdominal pregnancy at term with a healthy viable fetus is therefore an extremely rare condition and very few of such cases have been published during the last ten years. We present a case of abdominal pregnancy that resulted in a term live baby without malformations.