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A Unique Opportunity for Evaluation With Sonography, Computed Tomography, and Magnetic Resonance Imaging

Gary J. Harris, MD; Adel S. Al-Jurf, MD; William T. C. Yuh, MD; Monzer M. Abu-Yousef, MD

JAMA. 1989;261(6):902-904.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE INCIDENCE of ectopic pregnancy ranges from one in 84 to one in 357 live births.¹ The most common site of implantation is within the fallopian tubes; abdominal pregnancies are unusual, and primary hepatic pregnancies are extremely rare. A computer search revealed only six cases^2-7 of placental attachment to the liver in the English-language literature since Cornell and Lash⁸ reported eight cases in 1933. The presence of a fetus has been described in only two of these cases^6,7; either chorionic villi or trophoblasts have been documented in the remaining reports. While preoperative angiography was described in one case,³ newer imaging techniques such as ultrasonography, computed tomography (CT), and imaging with magnetic resonance (MR) have not been used in the diagnosis and evaluation of hepatic pregnancy. These techniques have a greater ability to define tissue planes, thus allowing more accurate diagnosis and preoperative planning by the . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Surgery (Drs Harris and Al-Jurf) and Radiology (Drs Yuh and Abu-Yousef), the University of Iowa Hospitals and Clinics, Iowa City.

Footnotes
Reprints not available.

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