Liver ectopic pregnancy

Abstract

Ectopic abdominal pregnancy is the rarest of all kind of pregnancies. The gestational sac is implanted in the pelvis or in vascularized structures such as the liver, spleen or mesentery. The risk of complication is 7 to 8 times higher than a tubal ectopic pregnancy and 90 times higher that than an intrauterine pregnancy. For this reason, it has a high mortality rate and early diagnosis and timely treatment save lives. This clinical case it’s about a 43-year-old multiparous woman from the rural area, who consulted for a sensation of fullness, diffuse abdominal pain related to the ingestion of fatty foods and absence of menstruation for 7 weeks. without specifying a diagnosis, the patient presented signs of hypovolemic shock, for which she was referred to the San Juan de Dios Hospital in San Miguel, where she was treated urgently, performing a diagnostic of
ripped ectopic hepatic pregnancy requiring an emergency surgery along with a general surgery. The right lobe of the liver that contained the pregnancy was removed and then an omentum patch was placed. The intensive care management was accomplished, yet the homodynamic instability presented.