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Hepatic Pregnancy Suspected at Term and Successful Delivery of a Live Neonate With Placental Attachment to the Right Lobe of the Liver

Brouard, Kendall Jane MBChB, MMed; Howard, Bruce Richard MBChB, FCOG; Dyer, Robert Anthony FCA, PhD

doi: 10.1097/AOG.0000000000000703
Contents: Case Report

BACKGROUND: Hepatic pregnancy is an exceptionally rare form of extrauterine pregnancy. Only 21 cases have been reported in the English medical literature over the past 60 years, of which only 29% progressed beyond the first trimester.

CASE: We present a case of advanced hepatic pregnancy that was diagnosed at term. The diagnosis was suspected clinically and on an abdominopelvic ultrasonogram. At laparotomy, the diagnosis of an intrahepatic pregnancy was confirmed. The 2,800-g live neonate was delivered successfully, and the placenta was left in situ. The mother made a full and uneventful recovery.

CONCLUSION: This is a very rare case of an advanced hepatic pregnancy that remained undiagnosed until term and resulted in the successful delivery of a live neonate.

A hepatic pregnancy is diagnosed and delivered at term gestation with subsequent good neonatal and maternal outcome.

Departments of Obstetrics and Gynaecology and Anaesthesia, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa.

Corresponding author: Kendall Jane Brouard, MBChB, MMed, Department of Obstetrics and Gynaecology, Groote Schuur Hospital, Cape Town, South Africa; e-mail: kendall.brouard@uct.ac.za.

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

© 2015 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.