Laparoscopic management of primary hepatic pregnancy.
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.
Chin
Pui-See
PS
Wee
Horng-Yen
HY
Chern
Bernard Su-Min
BS
D000020:Abortifacient Agents, Nonsteroidal / Q000627:therapeutic use; D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008099:Liver / Q000601:surgery*; D008727:Methotrexate / Q000627:therapeutic use; D011247:Pregnancy; D011269:Pregnancy, Abdominal / Q000188:drug therapy / Q000601:surgery*
D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate