A rare case of hepatic ectopic pregnancy

Abstract

Background: Hepatic pregnancy is an uncommon ectopic site of gestational sac implantation. Clinical signs and symptoms simulate digestive or hepatobiliary diseases, making this a less common clinical diagnosis. Delay in diagnosis increases the risk of rupture and life threatening torrential hemorrhage. Detailed abdomino-pelvic ultrasound confirms the diagnosis, and MRI along with CT angiography guides the management. Case presentation: We report a case of a 25-year-old multiparous female who presented with right hypochondrial and lumbar pain. Ultrasound demonstrated live ectopic gestational sac attached to the inferior surface of segment VI of liver with perigestational hematoma and patient underwent successful surgical excision with segmental resection of liver. Conclusions: Primary hepatic ectopic pregnancy is a very rare entity. Importance resides in maintaining a high level of suspicion along with timely radiological investigations for successful clinical outcome.