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Laparoscopic management of primary hepatic pregnancy
Author(s) -
CHIN PuiSee,
WEE HorngYen,
CHERN Bernard SuMin
Publication year - 2010
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.2009.01113.x
Subject(s) - medicine , ectopic pregnancy , methotrexate , laparoscopy , gestational sac , adnexal mass , human chorionic gonadotropin , surgery , hemostat , epigastric pain , pregnancy , hormone , vomiting , genetics , biology
A 30‐year‐old woman presented with epigastric pain with elevated serum human chorionic gonadotropin level (hCG), absence of intrauterine gestational sac and absence of an abnormal adnexal mass on pelvic ultrasonography. Laparoscopy revealed a ruptured hepatic ectopic pregnancy. This was removed by laparoscopic suctioning and haemostasis secured with Surgicel ® Fribrilla™ Absorbable Hemostat. Intramuscular methotrexate was administered post‐operatively. Patient recovered uneventfully and serum hCG returned to normal.