Résumé
Abdominal pregnancies are a small fraction of ectopic pregnancies. They usually implant on the pelvic cavity after disruption of the initial implantation site in the tubes, but they have been reported from all over the peritoneal cavity. In this case, the conceptus was implanted in the inferior-posterior area of the right hepatic lobe. Surgical resection of a hepatic pregnancy may result in massive and even fatal hemorrhage. We report a case of hepatic pregnancy that had successful resolution by systemic intramuscular methotrexate injection only.
Sujets)
Femelle , Humains , Grossesse , Hémorragie , Foie , Méthotrexate , Cavité péritonéale , Grossesse extra-utérineRésumé
We describe a case of diamniotic dichorionic pregnancy at 23 weeks and 6 days of gestation with threatened preterm labor with rupture of membrane of twin one. After 10 days we delivered the first twin. We decided to retain the other one to allow improvement in the outcome for the second twin. The patient was treated with tocolytics, antibiotics, cervical cerclage, steroid and continously monitored. After 58 daysthere was increasing uterine contractility and we delivered the second twin.