肝妊娠的成功医学治疗：一例报告。
Successful medical treatment of a hepatic pregnancy: a case report.
作者信息
Sibetcheu Tchatou A, Tchounzou R, Mbuagbaw L, Mboudou E T
机构信息
Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon.
Gynaecology and Obstetrics Unit, Douala Gynaeco-Obstetric and Paediatric Hospital, Douala, Cameroon.
出版信息
J Med Case Rep. 2017 Mar 15;11(1):70. doi: 10.1186/s13256-017-1227-1.
BACKGROUND
Hepatic pregnancy is a rare form of abdominal pregnancy, often documented only as case reports.
CASE PRESENTATION
We report here the case of a 24-year-old African woman, gravida 4 para 3, presenting with right upper quadrant pains and metrorrhagia after amenorrhea of 8 weeks 5 days. Elements in favor of the diagnosis of hepatic pregnancy were her clinical presentation, the kinetics of β-human chorionic gonadotropin titers, and the presence of a sub-hepatic mass on ultrasound. We successfully treated this patient with intramuscular methotrexate only.
CONCLUSIONS
The interest of this case resides in the rarity of this condition and the therapeutic approach used. Clinicians should raise their index of suspicion for hepatic pregnancy when faced with females of reproductive age with such a clinical presentation.
背景
肝妊娠是腹妊娠的一种罕见形式，通常仅作为病例报告记录。
病例介绍
我们在此报告一例24岁非洲女性，孕4产3，停经8周5天后出现右上腹疼痛和子宫出血。支持肝妊娠诊断的因素包括其临床表现、β-人绒毛膜促性腺激素水平变化以及超声检查发现肝下肿块。我们仅通过肌内注射甲氨蝶呤成功治疗了该患者。
结论
本病例的意义在于这种情况的罕见性以及所采用的治疗方法。临床医生在面对具有此类临床表现的育龄女性时，应提高对肝妊娠的怀疑指数。
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