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Doctors at Renji carry out rare surgery
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DOCTORS at Renji Hospital removed part of a woman’s liver with a 2-month-old fetus over the weekend.
The 35-year-old woman from Harbin, Heilongjiang Province, showed signs of pregnancy two months ago, including amenorrhea and irregular vaginal bleeding but doctors could not locate the fetus in her womb during ultrasound checks.
Eventually, after a CT scan, they discovered a gestational sac on her left liver, an extremely rare medical occurrence. She came to Shanghai for medical consultations and doctors here advised her to undergo surgery as the fetus in the liver posed a threat to her life.
On Saturday, she went under the knife to remove the affected part of the liver. She is expected to be discharged within a week.
“Pregnancy in liver is a very rare occurrence,” said Dr Di Wen, vice president of the hospital.
An ectopic pregnancy occurs in one or two women out of every 100 women. Generally, about 90 percent of the ectopic pregnancy cases happen when the embryo attaches inside the fallopian tube, Di said. The second possible place for the embryo to attach is the ovary, which an occurrence rate of 1/15,000. The rest of the time it settles inside the abdomen, which is linked to the uterus via the fallopian tube.
However, in the last condition, it often happens in the lower part of the abdomen, while the liver is in upper abdomen, making this sort of pregnancy extremely rare.
“Since the liver has an ability to regenerate, removing part of it is unlikely to the patient’s health too much.”
In August this year, doctors at Renji removed a spleen with a 3-month-old fetus from a 25-year-old woman.
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