Splenic ectopic pregnancy: Rare location of ectopic pregnancy, how does it present?

Nguyen Khac Hung, MD; Nguyen Duy Hung, MD, PhD; Do Manh Ha, MD; Nguyen Ha Khuong, MD; Nguyen Ngoc Anh, MD; Pham Thi Thuy Linh, MD; Hoang Mai Anh, MD; Dang Vinh Hiep, MD; Nguyen Minh Duc, MD; Nguyen Duy Anh, MD, PhD

Radiology Case Reports (Nov 2023)

Splenic ectopic pregnancy: Rare location of ectopic pregnancy, how does it present?

Nguyen Khac Hung, MD,
Nguyen Duy Hung, MD, PhD,
Do Manh Ha, MD,
Nguyen Ha Khuong, MD,
Nguyen Ngoc Anh, MD,
Pham Thi Thuy Linh, MD,
Hoang Mai Anh, MD,
Dang Vinh Hiep, MD,
Nguyen Minh Duc, MD,
Nguyen Duy Anh, MD, PhD

Affiliations

Nguyen Khac Hung, MD: Department of Radiology, Hanoi Obstetrics and Gynecology Hospital, Hanoi, Vietnam; Corresponding author.
Nguyen Duy Hung, MD, PhD: Department of Radiology, Viet Duc Hospital, Hanoi, Vietnam; Department of Radiology, Hanoi Medical University, Hanoi, Vietnam
Do Manh Ha, MD: Department of Radiology, Viet Duc Hospital, Hanoi, Vietnam
Nguyen Ha Khuong, MD: Department of Radiology, Hanoi Medical University, Hanoi, Vietnam
Nguyen Ngoc Anh, MD: Department of Radiology, Hanoi Medical University, Hanoi, Vietnam
Pham Thi Thuy Linh, MD: Department of Radiology, Hanoi Medical University, Hanoi, Vietnam
Hoang Mai Anh, MD: Department of Radiology, Hanoi Medical University, Hanoi, Vietnam
Dang Vinh Hiep, MD: Department of Radiography, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam
Nguyen Minh Duc, MD: Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam; Corresponding author.
Nguyen Duy Anh, MD, PhD: Fetal Medicine Center, Hanoi Obstetrics and Gynecology Hospital, Hanoi, Vietnam; Department of Obstetrics and Gynecology, Hanoi Medical University, Hanoi, Vietnam

Journal volume & issue: Vol. 18, no. 11
pp. 3884 – 3888

Abstract

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Splenic ectopic pregnancy (SEP) is a rare high-mortality condition, particularly relating to life-threatening intraperitoneal bleeding due to a high risk of spontaneous rupture. Diagnosing in a timely fashion is extremely crucial and the patients could benefit from active treatment strategies and early management. In this article, we reviewed a case of 40 years-old female who complained of lower quadrant abdominal pain and amenorrhea with a history of intrauterine device (IUD) insertion for over 6 years. Elevating b-human chorionic gonadotropin (HCG) blood levels were documented, raising concern about pregnancy-related emergency conditions. Ultrasound and magnetic resonance imaging results suggested a splenic ectopic pregnancy entity with a high rupture rate. The patient subsequently underwent laparoscopic resection for splenic mass removal. Ectopic pregnancy should cautiously be excluded in all cases of abdominal pain in childbearing-age women.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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