There is no embryo in the pelvis during the operation Finally found in the liver A week ago, the chief physician of Wang Yuedong suddenly received a call for help from a surgeon at the primary hospital. They were operating on a special ectopic pregnancy patient and had a very difficult problem. The girl who has ectopic pregnancy is only 21 years old, surnamed Jiang, and works in a company in the west of the city. Because of a sudden abdominal pain, he went to the primary hospital for treatment. The doctor inquired about the history of the disease. Xiao Jiang stopped the menopause for more than 40 days. After the examination, it was found that there was a fluid in the cavity and the abdominal cavity, and the blood examination found that the index of HCG (human chorionic gonadotropin) was elevated. This index was an important diagnostic basis for the diagnosis of early pregnancy. According to the results of these two tests, the doctor decided that Xiao Jiang was bleeding from ectopic pregnancy and was very dangerous. Ectopic pregnancy, also known as ectopic pregnancy, refers to the development of embryo implantation outside the uterus, and the most common location is in the fallopian tube. As the embryo grows, it can cause the rupture and bleeding of the fallopian tube, which may cause hemorrhagic shock and even life risk if it is not found and treated in time. Xiao Jiang was found in a hospital because of abdominal pain caused by extrauterine pregnancy bleeding. During the operation, the doctor treated the blood of the small Chiangs pelvic cavity clean, and found that both sides of the fallopian tubes were intact and found the whole pelvic cavity, and how to find the embryo tissue. Strangely, there are many fresh blood clots in the upper right abdomen near the liver, which means that the bleeding point may be in the right upper quadrant. In case of emergency, the director of the hospital sent a telephone call from chief physician Wang Yuedong, asking him to come to the consultation. At that time, Dr. Wang was driving home. When he received the call, he immediately went to the consultation and arrived in about 10 minutes. Director Wang carried out abdominal exploration for Xiao Chiang by laparoscopy, and finally found foreign bodies in the lower edge of the right liver. The bleeding point was here. Under laparoscopy, chief physician Wang Yuedong picked up foreign tissue for Xiao Jiang. The foreign body was nothing else. It was an embryo that had not been found for a long time. The probability of liver pregnancy is not high Once more perilous than ordinary ectopic pregnancy Embryos like Chiang Chiang run from the pelvic cavity to the abdominal cavity, called primary abdominal pregnancy , which is rare in clinic. Its the first time Ive been in medicine for so many years. Chief physician Wang Yuedong said abdominal heterotopic pregnancy is the most rare and dangerous type of abdominal pregnancy. Up to now, there are less than 50 cases of primary ectopic pregnancy reported in the literature at home and abroad, including 22 cases of liver pregnancy, 18 cases of spleen pregnancy and less than 3 months of pregnancy in less than 33%, most of them are treated with abortion or rupture caused by abdominal bleeding in the early pregnancy. In China, there are only 1 reports of laparoscopic surgery for liver pregnancy. Why do embryos run from the pelvis to the abdominal cavity and to the liver? Wang Yuedong, the chief physician, said that the reason is not clear. The scholars in the industry consider that the oviduct may be due to the reverse peristalsis of the oviduct to the abdominal cavity. Before it is absorbed by the peritoneum, the clockwise effect of the intestinal peristalsis is caused by the clockwise movement of the intestines, and it is just planted to the surface of the organs such as the liver and spleen. The blood circulation of organs such as liver and spleen is abundant, and the surface tension is not large. It is rich in blood from the gastrointestinal tract and portal vein, and is conducive to the growth of embryos. However, with the development of embryos, there may be rapid rupture of organs and rapid bleeding. If the rescue is not timely, hemorrhagic shock and death may occur. The risk of death is much larger than that of ordinary ectopic pregnancy. For Xiaojiang, although the liver pregnancy accident is very dangerous, but because of timely treatment, finally turn the corner. Fortunately, although ectopic pregnancy occurs, her fallopian tube is still intact, which will not affect future marriages.