Spontaneous liver rupture associated with hydatidiform mole pregnancy.
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.
Vanatta
Jason M
JM
From the Methodist Transplant Institute/University of Tennessee, Division of Transplantation, Memphis, Tennessee; and Stanford University, Division of Transplantation, Palo Alto, California.
Monge
Humberto
H
Bonham
Clark A
CA
Concepcion
Waldo
W
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