Spontaneous liver rupture is a rare occurrence during pregnancy.
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.
This case illustrates that, although very unusual, hydatidiform molar pregnancies should be considered as a precipitating factor for spontaneous liver rupture.
Hydatidiform molar pregnancies should be considered as a precipitating factor for spontaneous liver rupture.
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: firstname.lastname@example.org.
Financial Disclosure The authors did not report any potential conflicts of interest.