Intrahepatic Pregnancy - A Rare Form of Abdominal Pregnancy at Lira Regional Referral Hospital, Northern Uganda; a Case Report and Literature Review.
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Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
International Journal of Medical Science and Clinical Invention
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.
Description
Keywords
Intrahepatic pregnancy, abdominal pregnancy, ectopic pregnancy, case report and Uganda
Citation
Odur, A., Okello, T. R., Okii, R., Obbo Olwenyi, J. S., & Pecorella, I. (2020). Intrahepatic Pregnancy - A Rare Form Of Abdominal Pregnancy At Lira Regional Referral Hospital, Northern Uganda; A Case Report And Literature Review: Intrahepatic pregnancy at Lira Regional Referral Hospital, Uganda. International Journal of Medical Science and Clinical Invention, 7(08), 4895–4899. https://doi.org/10.18535/ijmsci/v7i08.01