A clinical case of ectopic pregnancy with localization in the liver
A. Е. Voynovskiy,
О. A. Zaitseva,
A. G. Solopova,
D. V. Blinov,
М. P. Malykh-Bakhtina,
G. К. Bykobshchenko https://doi.org/10.17749/2070-4909/farmakoekonomika.2024.234
Abstract
The article describes a clinical case of ectopic pregnancy with localization in the liver. The patient Sh. was admitted to the gynecological department with pain in the lower abdomen and epigastrium. Clinical, laboratory and instrumental examinations were conducted in accordance with clinical recommendations. The examinations showed that human chorionic gonadotropin level was 17,440.85 mIU/ml. Pelvic ultrasound did not determine the fetal egg in the uterine cavity. However, free fluid in the pelvis (about 50 ml) was found. Repeated pelvic ultrasound revealed a paraovarial formation on the right, and free fluid in the pelvis. Laparoscopic surgery was performed, during which a fetal egg was found in the V segment of the liver. Liver resection and cholecystectomy were performed on an emergency basis. This case describes the importance of timely and correct diagnostics and determination of patient management tactics to prevent the development of life-threatening complications.
About the Authors
A. Е. Voynovskiy
Sechenov University; Konchalovsky City Clinical Hospital
Russian Federation
Russian Federation
Alexander Е. Voynovskiy – Dr. Med. Sc., Associate Professor, Professor, Chair of Hospital Surgery, Sklifosovsky Institute of Clinical Medicine, Sechenov University; Deputy Chief Physician for Surgical Care, Konchalovsky C CH; WoS ResearcherID: S-6385-2016.
2 bldg 4 Bolshaya Pirogovskaya Str., Moscow 119991; 2 bldg 1 Kashtanovaya Alley, Zelenograd 124489
О. A. Zaitseva
Sechenov University
Russian Federation
Russian Federation
Olga A. Zaitseva – Resident, Chair of Obstetrics, Gynecology and Perinatal Medicine, Filatov Clinical Institute of Children's Health.
2 bldg 4 Bolshaya Pirogovskaya Str., Moscow 119991
A. G. Solopova
Sechenov University
Russian Federation
Russian Federation
Antonina G. Solopova – Dr. Med. Sc., Professor, Chair of Obstetrics, Gynecology and Perinatal Medicine, Filatov Clinical Institute of Children's Health; WoS ResearcherID: Q-1385-2015; Scopus Author ID: 6505479504.
2 bldg 4 Bolshaya Pirogovskaya Str., Moscow 119991
D. V. Blinov
Sechenov University; Institute for Preventive and Social Medicine; Moscow Haass Medical Social Institute
Russian Federation
Russian Federation
Dmitry V. Blinov – MD, PhD, MBA, Assistant Professor, Chair of Sports Medicine and Medical Rehabilitation, Sklifosovsky Institute of Clinical Medicine, Sechenov University; Head of Medical and Scientific Affairs, Institute for Preventive and Social Medicine; Associate Professor, Chair of Sports, Physical and Rehabilitation Medicine, MHMSI; Scopus Author ID: 6701744871; WoS Researcher ID: E-8906-2017
2 bldg 4 Bolshaya Pirogovskaya Str., Moscow 119991; 4/10 Sadovaya-Triumfalnaya Str., Moscow 127006; 5 bldg 1-1a 2nd Brestskaya Str., Moscow 123056
М. P. Malykh-Bakhtina
Sechenov University
Russian Federation
Russian Federation
Mariia P. Malykh-Bakhtina – 5th Year Student, Filatov Clinical Institute of Children's Health.
2 bldg 4 Bolshaya Pirogovskaya Str., Moscow 119991
G. К. Bykobshchenko
Sechenov University
Russian Federation
Russian Federation
Georgiy K. Bykovshchenko – 4th Year Student.
2 bldg 4 Bolshaya Pirogovskaya Str., Moscow 119991
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For citations:
Voynovskiy A.Е., Zaitseva О.A., Solopova A.G., Blinov D.V., Malykh-Bakhtina М.P., Bykobshchenko G.К. A clinical case of ectopic pregnancy with localization in the liver. FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology. 2024;17(1):118-123. (In Russ.) https://doi.org/10.17749/2070-4909/farmakoekonomika.2024.234
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