title: Successful medical treatment of a hepatic pregnancy: a case report.
abstract: BACKGROUND
  Hepatic pregnancy is a rare form of abdominal pregnancy, often documented only as case reports.
  
  
  METHODS
  We report here the case of a 24-year-old African woman, gravida 4 para 3, presenting with right upper quadrant pains and metrorrhagia after amenorrhea of 8 weeks 5 days. Elements in favor of the diagnosis of hepatic pregnancy were her clinical presentation, the kinetics of β-human chorionic gonadotropin titers, and the presence of a sub-hepatic mass on ultrasound. We successfully treated this patient with intramuscular methotrexate only.
  
  
  CONCLUSIONS
  The interest of this case resides in the rarity of this condition and the therapeutic approach used. Clinicians should raise their index of suspicion for hepatic pregnancy when faced with females of reproductive age with such a clinical presentation.
authors.affiliation: Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon. asibetcheu@gmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Sibetcheu Tchatou
authors.affiliation: Gynaecology and Obstetrics Unit, Douala Gynaeco-Obstetric and Paediatric Hospital, Douala, Cameroon.
authors.forename: R
authors.initials: R
authors.lastname: Tchounzou
authors.affiliation: Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada.
authors.forename: L
authors.initials: L
authors.lastname: Mbuagbaw
authors.affiliation: Gynaecology and Obstetrics Unit, Douala Gynaeco-Obstetric and Paediatric Hospital, Douala, Cameroon.
authors.forename: E T
authors.initials: ET
authors.lastname: Mboudou
mesh_terms: D015746:Abdominal Pain / Q000000981:diagnostic imaging* / Q000209:etiology; D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage*; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000378:metabolism*; D005260:Female; D006801:Humans; D007273:Injections, Intramuscular; D008727:Methotrexate / Q000008:administration & dosage*; D008796:Metrorrhagia / Q000209:etiology; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis* / Q000188:drug therapy / Q000517:prevention & control; D016896:Treatment Outcome; D014463:Ultrasonography; D055815:Young Adult
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D018997:Chorionic Gonadotropin, beta Subunit, Human; D008727:Methotrexate
keywords: Cameroon; Case report; Hepatic pregnancy; Methotrexate