Words I Don’t Want to See Together – “Hepatic Ectopic Pregnancy”
A colleague sent me this citation, and not many things gross me out, but this made me *shudder.*
Shippey SH, Bhoola SM, Royek AB, Long ME. Diagnosis and management of hepatic ectopic pregnancy. Obstet Gynecol. 2007 Feb;109(2 Pt2):544-6.
Okay, first, an ectopic pregnancy is one that’s outside the uterus. “Hepatic” refers to the liver. So what we’re talking about here is a pregnancy that’s happening not in the uterus, but in the liver. Argh.
The case report notes that the woman presented “with acute onset of right-sided abdominal pain.” Great. That’s the basic, classic appendicitis. One day I’m going to have appendicitis and be convinced that I have a liver-fetus. Or vice versa.
In the discussion, the authors note that “when the placenta is securely adherent to the viscera providing its blood supply, it should be left in the abdominal cavity.” Urgh.