Guerrero-Amador FI, Sánchez-Montaño M, Arteaga-Yáñez JH, Rochin-Terán JL

Language: Spanish
References: 5
Page: 350-353
PDF size: 684.11 Kb.

ABSTRACT

We present the case of a female patient with abdominal pain, amenorrhea, and a positive pregnancy test. Abdominal and transvaginal ultrasound without evidence of intrauterine or pelvic pregnancy. Computed tomography documented a poorly defined lesion in the spleen and free fluid; findings suggestive of splenic rupture, which was surgically corroborated, and splenic ectopic pregnancy was the histopathological result. Twelve cases have been reported: in 4 the preoperative diagnoses were ruptured ectopic pregnancy; in 6 ectopic pregnancy without determining the implantation site, 1 splenic rupture, and in the case under consideration heterogeneous splenic tumor plus hemoperitoneum. Splenic ectopic pregnancy is the least common location among abdominal ectopic pregnancies and represents less than 2% of cases. It is a diagnostic challenge on account of its low incidence, but should be considered in patients who have a positive pregnancy test without confirmation of intrauterine or pelvic pregnancy, due to the high likelihood of rupture and mortality.

REFERENCES

1. EP Lin, S Bhatt. Diagnostic Clues to Ectopic Pregnancy. Radiographics 2008:28(6):1661-71.

2. Y Yagil, N Beck-Razi. Splenic pregnancy: The Role of abdominal imaging. American Institute of Ultrasound in Medicine 2007.

3. AN Kalof, B Fuller. Splenic Pregnancy: A case report and Review of the literature. Arch Pathol Lab Med 2004;128(11).

4. KT Barh. Ectopic Pregnancy. New England Journal of Medicine 2009;361:379-387.

5. W Li, D Yin. A Case of Spontaneous Splenic Rupture in an Ectopic Pregnancy. J Obstet Gynaecol 2013;33(1):95-96.