Primary intra-hepatic pregnancy is an extremely rare condition. The purpose of this study was to report a case of 24-year-old Gravida 2 para 1+0 who presented at 35 weeks of amenorrhea with vaginal bleeding and mild right upper abdominal tenderness. Ultrasonography revealed a non-viable extra-uterine fetus located around the right upper part of the abdomen with a bulky uterus. Laparotomy was preferred in view this clinical dilemma and a fetus free abdominal cavity and uterus was observed, a macerated female baby was delivered from inside the liver with birth weight of 2.7kilogram. Placenta was left in situ and methotrexate given to hasten its resorption. Maternal outcome during the 18 days of intense follow up was uneventful. This case is a rare occurrence in our setting and it has diagnostic challenges in low resource settings like ours, however intra-hepatic pregnancy can grow to considerable size and weight.
Intrahepatic pregnancy. A rare form of abdominal pregnancy at Lira Regional Referral Hospital, Northern Uganda; a case report and literature review / Odur, Andrew; Richard Okello, Tom; Okii, Richard; Stephen Olwenyi Obbo, John; Pecorella, Irene. - In: INTERNATIONAL JOURNAL OF MEDICAL SCIENCE AND CLINICAL INVENTION. - ISSN 2348-991X. - 7:8(2020), pp. 4895-4899. [10.18535/ijmsci/v7i08.01]
Intrahepatic pregnancy. A rare form of abdominal pregnancy at Lira Regional Referral Hospital, Northern Uganda; a case report and literature review
Irene PecorellaUltimo
Writing – Original Draft Preparation
2020
Abstract
Primary intra-hepatic pregnancy is an extremely rare condition. The purpose of this study was to report a case of 24-year-old Gravida 2 para 1+0 who presented at 35 weeks of amenorrhea with vaginal bleeding and mild right upper abdominal tenderness. Ultrasonography revealed a non-viable extra-uterine fetus located around the right upper part of the abdomen with a bulky uterus. Laparotomy was preferred in view this clinical dilemma and a fetus free abdominal cavity and uterus was observed, a macerated female baby was delivered from inside the liver with birth weight of 2.7kilogram. Placenta was left in situ and methotrexate given to hasten its resorption. Maternal outcome during the 18 days of intense follow up was uneventful. This case is a rare occurrence in our setting and it has diagnostic challenges in low resource settings like ours, however intra-hepatic pregnancy can grow to considerable size and weight.File | Dimensione | Formato | |
---|---|---|---|
Odur_Intrahepatic pregnency_2020.pdf
accesso aperto
Note: https://valleyinternational.net/index.php/ijmsci/article/view/2654
Tipologia:
Versione editoriale (versione pubblicata con il layout dell'editore)
Licenza:
Creative commons
Dimensione
201.24 kB
Formato
Adobe PDF
|
201.24 kB | Adobe PDF |
I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.