Primary Splenic Pregnancy

Mankodi, R. C.; Sankari, K.; Bhatt, Shaival

doi:10.1111/j.1471-0528.1977.tb12669.x

Cited by 13 publications

(4 citation statements)

References 1 publication

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“…There were 12 reports of the abdominal pregnancy being implanted on the spleen [138,139,141,142,143,144,145,146,147,148,149,150] with an average maternal age of 28.7 and parity of 1.1. The average age at diagnosis was 7 weeks with the range being from 4 to 9 weeks and 3 days.…”

Section: Resultsmentioning

confidence: 99%

Early Abdominal Ectopic Pregnancies: A Systematic Review of the Literature

Poole¹,

Haas

Magann

2012

Gynecol Obstet Invest

135

145

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Objective: To define abdominal ectopic pregnancy outcomes by both location and treatment. Methods: Literature review of abdominal pregnancies from 1965 to August of 2009. Ectopic pregnancy exclusions were interstitial, tubal, cervical, ovarian, or those beyond 20 weeks at diagnosis/treatment. Results: There were 511 cases identified with 225 meeting the inclusion criteria. There were 7 maternal deaths (3.0%) with 18 (8%) of the early abdominal ectopic pregnancies occurring with an intrauterine device in place. Mean gestational age at the time of treatment was 10 weeks 0 days and mean maternal age was 29.7 years. The average blood loss associated with treatment was 1,450 ml. The top three sites of early abdominal ectopic pregnancies were pouches around the uterus (24.3%), serosal surface of the uterus and tubes (23.9%), and multiple sites (12.8%). Primary surgical management was performed in 208 cases (87.8%). Nonsurgical adjuvant or primary therapy included intramuscular methotrexate, intralesional methotrexate, intracardiac KCl, and artery embolization. Conclusion: Abdominal pregnancies should be considered in all patients until an intrauterine location can be confirmed. Understanding treatment options by pregnancy location may be helpful in the management of this potentially life-threatening condition.

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Section: Resultsmentioning

confidence: 99%

Early Abdominal Ectopic Pregnancies: A Systematic Review of the Literature

Poole¹,

Haas

Magann

2012

Gynecol Obstet Invest

135

145

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“…estimated that there are 10.9 abdominal pregnancies per 100 000 births, and 9.2 abdominal pregnancies per 1000 ectopic pregnancies . Although the most commonly reported sites of primary peritoneal implantation are the pouch of Douglas and the posterior uterine wall, primary implantation sites have also been described on the uterine fundus and on a number of extrapelvic structures, including the liver, spleen, lesser sac, and diaphragm . In the present case, we performed a laparotomy to treat a 7‐week gestational primary abdominal pregnancy infiltrated into the Gerota's fascia of the right kidney in a naturally conceived pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Rare case of primary peritoneal pregnancy infiltrated into the Gerota's fascia of the right kidney

Chishima

Kato-Suzuki

Ichikawa

et al. 2012

J of Obstet and Gynaecol

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A 33-year-old, gravida 3, para 2, woman was transferred to our hospital, with acute abdominal pain. Abdominal computed tomography (CT) revealed a cystic lesion accompanied by ring-enhancement between the liver and right kidney with fluid collection in the pelvic cavity. Serum hCG value was 3100 mIU/mL. Transvaginal sonography revealed a pseudo-gestational sac in a thickened endometrium. With a preoperative diagnosis of ectopic pregnancy at 7 weeks of gestation, laparotomy was performed. Following careful removal of clots between the liver and right kidney that contained a gestational sac, continuous bleeding from a defect in the Gerota's fascia of the right kidney was noted. The postoperative course was uneventful and the serum hCG concentration decreased markedly. This case demonstrates that the Gerota's fascia is a possible site of ectopic pregnancy, and that CT can identify a pregnancy in the Gerota's fascia as well as in the liver and spleen.

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“…Risk factors associated with these are however similar to other ectopic pregnancies and include a history of PiD, ectopic gestation, endometriosis, in vitro fertilization and previous surgeries on the tube such as tubal reconstructive surgeries or tubal recanalization surgeries (9). while there were no such risk factors in our case, 3 of 12 reviewed cases in our study had an intrauterine contraceptive device at presentation (Table i) (1,(10)(11)(12)(13)(14)(15)(16)(17)(18)(19).…”

Section: Discussionmentioning

confidence: 95%

Primary splenic pregnancy- a rare but imperative cause of hemoperitoneum - case report and review of literature

Rathore¹,

Shilpi²,

Chopra³

et al. 2013

TJPATH

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Primary splenic pregnancy is an extremely rare form of extratubal ectopic pregnancy. These cases often cause splenic rupture in very early course of their gestation thereby presenting with hemoperitoneum in emergencies. Owing to the higher risk of exsanguination and death caused by hemoperitoneum, it is essential to diagnose these cases for proper management and better prognosis of the patients. we present the case of a 23-year-old female, gravida 2, para 1, live issue 1 presenting to the emergency outpatient department with acute abdomen and hemoperitoneum. There was no history of trauma. The patient had a positive urine pregnancy test and raised beta HCG levels. emergency laparotomy revealed an otherwise unremarkable fallopian tube and ovary with a hemoperitoneum of 2.5 liters. A tiny splenic laceration was considered to be the source of bleeding and splenectomy was performed. Microscopy was suggestive of a primary ectopic pregnancy, spleen. Since hemoperitoneum in pregnancy is a rare but potentially fatal condition with a high risk of mortality, an accurate preoperative diagnosis is crucial in the management of such patients. The possibility of a ruptured extratubal ectopic pregnancy must be considered as one of the differential diagnoses of acute abdomen with hemoperitoneum in women of childbearing age.

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Primary Splenic Pregnancy

Abstract: Summary A patient with a primary splenic pregnancy is described.

Cited by 13 publications

References 1 publication

Early Abdominal Ectopic Pregnancies: A Systematic Review of the Literature

Early Abdominal Ectopic Pregnancies: A Systematic Review of the Literature

Rare case of primary peritoneal pregnancy infiltrated into the Gerota's fascia of the right kidney

Primary splenic pregnancy- a rare but imperative cause of hemoperitoneum - case report and review of literature

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