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Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach

Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach

Published on: August 8, 2025

Primary hepatic pregnancy.

Reena Yadav¹, Chitra Raghunandan, Swati Agarwal

¹Department of Obstetrics and Gynaecology, Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital, New Delhi, India.

Journal of Emergencies, Trauma, and Shock

|December 19, 2012

Summary

This summary is machine-generated.

This case report details a rare hepatic pregnancy. Early embolization and surgical resection are suggested for better outcomes in managing this life-threatening condition.

Keywords:

Embolization hepatic resection methotrexate primary hepatic pregnancy

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Area of Science:

Obstetrics and Gynecology
Hepatobiliary Surgery
Maternal-Fetal Medicine

Background:

Hepatic pregnancy, a rare form of ectopic pregnancy, poses significant risks to both mother and fetus.
Early diagnosis and prompt management are crucial for improving patient outcomes.

Observation:

An 18-week pregnant patient presented with abdominal pain and vomiting.
Ultrasound revealed a live fetus within the liver parenchyma, with associated ascites and hemoperitoneum.
Surgical intervention was complicated by uncontrollable bleeding from the placental site.

Findings:

A primary hepatic pregnancy of the right lobe of the liver was confirmed during laparotomy.
Despite surgical attempts and hepatic artery embolization, massive hemorrhage persisted.
The patient ultimately succumbed to disseminated intravascular coagulation (DIC).

Implications:

This case underscores the critical need for timely diagnosis and aggressive management strategies for hepatic pregnancy.
Preoperative embolization and consideration of partial hepatic resection in the initial surgical approach may improve survival rates.
Further research into optimal management protocols for this rare and dangerous condition is warranted.