Treatment of Hepatic Ectopic Pregnancy by Laparoscopy.
Yihang Jiang, Yu Li, Shuangdi Li
✦ AI-curated · Sources linked
Case in brief
A 34-year-old nulligravida presented with amenorrhea, prolonged irregular vaginal bleeding, and right upper quadrant pain, without identifiable ectopic-pregnancy risk factors. Laparoscopic exploration identified a hepatic gestational mass. After adhesiolysis and mobilization of the liver, the lesion was enucleated along the plane between the mass and normal parenchyma and removed intact. Pathology confirmed hepatic ectopic pregnancy. Resection took 115 minutes, with estimated blood loss of 50 mL. Postoperative serum hCG declined rapidly and subsequently became negative, confirming resolution.
What made this case unusual
The ectopic gestation was located in the liver despite the absence of identifiable risk factors; the report demonstrates laparoscopic enucleation of a superficial, resectable hepatic lesion.
Diagnostic / clinical pearl
Right upper quadrant pain with early-pregnancy symptoms can accompany hepatic ectopic pregnancy, even without identifiable risk factors. After resection, serial β-hCG monitoring and imaging follow-up help confirm complete resolution.