You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in

ACOG MEMBER SUBSCRIPTION ACCESS

If you are an ACOG Fellow and have not logged in or registered to Obstetrics & Gynecology, please follow these step-by-step instructions to access journal content with your member subscription.

Spontaneous Liver Rupture Associated With Hydatidiform Mole Pregnancy

Vanatta, Jason M. MD; Monge, Humberto PA-C; Bonham, Clark A. MD; Concepcion, Waldo MD

Obstetrics & Gynecology:
doi: 10.1097/AOG.0b013e3181c692a5
Case Reports
Abstract

BACKGROUND: Spontaneous liver rupture is a rare occurrence during pregnancy.

CASE: A young woman presented early in her pregnancy with severe abdominal pain, tachycardia, and hypotension. She was taken emergently to the operating room with a presumed diagnosis of ruptured ectopic pregnancy. Exploration revealed that her hemoperitoneum resulted from large fractures within her liver. During her resuscitation and treatment, a transvaginal ultrasound scan revealed a hydatidiform molar pregnancy. On resolution of postoperative complications and complete recovery, the patient was discharged home.

CONCLUSION: This case illustrates that, although very unusual, hydatidiform molar pregnancies should be considered as a precipitating factor for spontaneous liver rupture.

In Brief

Hydatidiform molar pregnancies should be considered as a precipitating factor for spontaneous liver rupture.

Author Information

From the Methodist Transplant Institute/University of Tennessee, Division of Transplantation, Memphis, Tennessee; and Stanford University, Division of Transplantation, Palo Alto, California.

Corresponding author: Jason M. Vanatta, MD, 1265 Union Avenue, 10th Floor, Memphis, TN 38104; e-mail: jvanatta@utmem.edu.

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2010 The American College of Obstetricians and Gynecologists