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Contrast-enhanced multiphasic CT and MRI of primary hepatic pregnancy: a case report and literature review

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Abstract

Primary hepatic pregnancy is extremely rare and difficult to diagnose radiologically. We present a 32-year-old woman with primary hepatic pregnancy diagnosed by using multi-modality imaging techniques, including ultrasonography, computed tomography (CT), and magnetic resonance imaging (MRI), which highlights diagnostic challenges. These techniques can define tissue planes in detail and identify embryo implantation into the hepatic parenchyma, thereby allowing accurate preoperative diagnosis and preoperative planning by the surgical team. To the best of our knowledge, this study is the first in the English literature to report a case of primary hepatic pregnancy, in which diffusion-weighted and contrast-enhanced multiphasic MRI were utilized for diagnosis and evaluation.

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Acknowledgments

This study was supported in part by a Grant-in-aid for scientific research from the Science and Technology Commission of Shanghai Municipality (Project No. 11JC1407400, 10JC1410900, and 10411953000),Technology Plan of Zhenjiang (Project No. SH2013083) and National Natural Science Foundation of China (Project No. 81071281 and 81271682).

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Correspondence to Yerong Chen.

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Hu, S., Song, Q., Chen, K. et al. Contrast-enhanced multiphasic CT and MRI of primary hepatic pregnancy: a case report and literature review. Abdom Imaging 39, 731–735 (2014). https://doi.org/10.1007/s00261-014-0101-5

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