{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T21:14:00Z","timestamp":1771017240782,"version":"3.50.1"},"reference-count":13,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,1,23]]},"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:p>Abdominal pregnancies, 1% of all ectopic pregnancies, present diagnostic complexities with a significant risk of intraperitoneal haemorrhage and mortality. Hepatic occurrences are exceptionally uncommon, with treatment strategies less established.<\/jats:p>\n               <jats:p>A woman in her early 30s and third pregnancy underwent laparotomy due to haemoperitoneum suspecting an ectopic pregnancy, but normal pelvic structures were observed. Ultrasound and MRI confirmed the hepatic location of a gestational sac of 4\u2009cm with a live fetus at 9 weeks. Intragestational sac methotrexate was administered under ultrasound guidance along with a single intramuscular dose due to high serum \u03b2-hCG which became undetectable after 8 weeks. The patient experienced no significant complications and was followed up for a year where an avascular gestational sac of 13\u2009mm was still imaged.<\/jats:p>\n               <jats:p>Hepatic pregnancy represents an exceptionally rare subset of abdominal pregnancies, frequently challenging to diagnose due to its atypical location. This is a first-of-its-kind report of imaging follow-up until 1 year.<\/jats:p>","DOI":"10.1136\/bcr-2024-263157","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T12:46:12Z","timestamp":1739277972000},"page":"e263157","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Fate of hepatic ectopic pregnancy 1-year post-treatment: still visible"],"prefix":"10.1136","volume":"18","author":[{"given":"Monika","family":"Anant","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, All India Institute of Medical Sciences - Patna, Patna, Bihar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5940-9490","authenticated-orcid":false,"given":"Subhash","family":"Kumar","sequence":"additional","affiliation":[{"name":"Radiodiagnosis, All India Institute of Medical Sciences - Patna, Patna, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"Paswan","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, All India Institute of Medical Sciences - Patna, Patna, Bihar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sangeeta","family":"Mondal","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, All India Institute of Medical Sciences - Patna, Patna, Bihar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,2,11]]},"reference":[{"key":"2025082710253215000_18.2.e263157.1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/17.12.3224"},{"key":"2025082710253215000_18.2.e263157.2","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1016\/S0002-9378(42)90488-5","article-title":"Primary peritoneal pregnancy","volume":"44","author":"Studdiford","year":"1942","journal-title":"Am J Obstet Gynecol"},{"key":"2025082710253215000_18.2.e263157.3","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.61.719.831"},{"key":"2025082710253215000_18.2.e263157.4","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1111\/j.1471-0528.1978.tb10504.x","article-title":"Primary hepatic pregnancy","volume":"85","author":"Luwuliza\u2010Kirunda","year":"1978","journal-title":"BJOG"},{"key":"2025082710253215000_18.2.e263157.5","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.1.5639.296","article-title":"Primary hepatic pregnancy","volume":"1","author":"Kirby","year":"1969","journal-title":"Br Med J"},{"key":"2025082710253215000_18.2.e263157.6","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1016\/j.fertnstert.2018.05.020","article-title":"Primary hepatic pregnancy: report of a case treated with laparoscopic approach and review of the literature","volume":"110","author":"Garzon","year":"2018","journal-title":"Fertil Steril"},{"key":"2025082710253215000_18.2.e263157.7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00404-018-4743-3","article-title":"Advanced abdominal pregnancy: a search for consensus. Review of literature along with case report","volume":"298","author":"Rohilla","year":"2018","journal-title":"Arch Gynecol Obstet"},{"key":"2025082710253215000_18.2.e263157.8","doi-asserted-by":"publisher","DOI":"10.3109\/00016348709015736"},{"key":"2025082710253215000_18.2.e263157.9","doi-asserted-by":"crossref","unstructured":"Sibetcheu Tchatou A , Tchounzou R , Mbuagbaw L , et al . Successful medical treatment of a hepatic pregnancy: a case report. 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