title: Spontaneous liver rupture associated with hydatidiform mole pregnancy.
abstract: BACKGROUND
  Spontaneous liver rupture is a rare occurrence during pregnancy.
  
  
  METHODS
  A young woman presented early in her pregnancy with severe abdominal pain, tachycardia, and hypotension. She was taken emergently to the operating room with a presumed diagnosis of ruptured ectopic pregnancy. Exploration revealed that her hemoperitoneum resulted from large fractures within her liver. During her resuscitation and treatment, a transvaginal ultrasound scan revealed a hydatidiform molar pregnancy. On resolution of postoperative complications and complete recovery, the patient was discharged home.
  
  
  CONCLUSIONS
  This case illustrates that, although very unusual, hydatidiform molar pregnancies should be considered as a precipitating factor for spontaneous liver rupture.
authors.affiliation: From the Methodist Transplant Institute/University of Tennessee, Division of Transplantation, Memphis, Tennessee; and Stanford University, Division of Transplantation, Palo Alto, California.
authors.forename: Jason M
authors.initials: JM
authors.lastname: Vanatta
authors.forename: Humberto
authors.initials: H
authors.lastname: Monge
authors.forename: Clark A
authors.initials: CA
authors.lastname: Bonham
authors.forename: Waldo
authors.initials: W
authors.lastname: Concepcion
mesh_terms: D005260:Female; D006465:Hemoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D006828:Hydatidiform Mole / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology*; D008099:Liver / Q000473:pathology*; D011247:Pregnancy; D012422:Rupture, Spontaneous / Q000209:etiology; D014057:Tomography, X-Ray Computed