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Case Reports
. 2021 Oct;47(10):3716-3719.
doi: 10.1111/jog.14950. Epub 2021 Aug 2.

Hemorrhagic shock caused by primary splenic pregnancy with spontaneous splenic rupture

Hanyi Wang  1 , Dongyun He  1 , Shouyang Gao  1 , Liyan Wang  1
Affiliations
Case Reports

Hemorrhagic shock caused by primary splenic pregnancy with spontaneous splenic rupture

Hanyi Wang et al. J Obstet Gynaecol Res. 2021 Oct.

Abstract

The subject, splenic pregnancy, is very rare and interesting with about a few cases reported to date. This case report describes a healthy 17-year-old girl admitted to our hospital who complained of amenorrhea for 30 days, intermittent abdominal pain for 3 days and worsening for 1 h. The serum human chorionic gonadotropin (hCG) was greater than 10000.0 IU/L. Pelvic ultrasonography showed a adnexal mass and empty uterine cavity. Due to consideration of "ectopic pregnancy," emergency laparoscopic surgery was performed. However, no clear lesions and bleeding points were detected during the operation. On postoperative day 2, hemoglobin level dropped sharply, meanwhile serum hCG increased significantly. Subsequent ultrasound showed a 4.4 × 4.1 × 2.6 cm gestational sac-like echo below the spleen. Laparotomy detected pregnancy tissues measured 4.0 × 3.5 cm next to the splenic hilum. Finally, the splenectomy was performed. Our case suggests that early diagnosis of splenic pregnancy is very difficult, especially when other conditions are combined. Despite this, we should still enrich ourself medical knowledge and clinical experience, and try to avoid the occurrence of splenic rupture.

Keywords: case report; hemorrhagic shock; splenectomy; splenic pregnancy; spontaneous splenic rupture.

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References

    1. Gang G, Yudong Y, Zhang G. Successful laparoscopic management of early splenic pregnancy: Case report and review of literature. J Minim Invasive Gynecol. 2010;17:794-7.
    1. Bouyer J, Coste J, Fernandez H, Pouly JL, Job-Spira N. Sites of ectopic pregnancy: a 10-year population-based study of 1800 cases. Hum Reprod. 2002;17:3224-30.
    1. Biolchini F, Giunta A, Bigi L, Bertellini C, Pedrazzoli C. Emergency laparoscopic splenectomy for haemoperitoneum because of ruptured primary splenic pregnancy: A case report and review of literature. ANZ J Surg. 2010;80:55-7.
    1. Julania S, Tai R. Heterotopic simultaneous splenic and intrauterine pregnancy after spontaneous conception and review of literature. J Obstet Gynaecol Res. 2013;39:367-70.
    1. Masukume G. Live births resulting from advanced abdominal extrauterine pregnancy, a review of cases reported from 2008 to 2013. Webmed Cent Obstet Gynaecol. 2014;5:wmc004510.

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