Splenic pregnancy treated with transcatheter embolization and methotrexate

Minimally Invasive Management and Diagnosis of Ectopic Splenic Pregnancy

“…To our knowledge, only one case of splenic pregnancy treated with selective embolization of the feeding vessels has been reported in the English literature. In this case, the patient was stable without any signs of active extravasation [ 23 ]. We presented the first case of splenic pregnancy when it was emergent and demanded urgent solutions.…”

Preoperative splenic artery embolization for splenic ectopic pregnancy

“…Additionally, the gonad and spleen contain similar tissue types, as seen in the rare congenital anomaly of splenogonadal fusion where the spleen and gonadal tissue are fused [2] . This could provide an explanation of a successful ectopic pregnancy in the spleen, as the flat and smooth contour off the thin splenic capsule along with substantial vasculature provides a sustainable environment for blastocyst implantation [3] . However, the splenic parenchyma cannot expand to support the blastocyst growth, and most reported cases have presented with splenic rupture around the seventh to eighth week of gestation, resulting in an emergency splenectomy [3] .…”

“…However, further evidence is needed. To the best of our knowledge, there is only one case of splenic pregnancy that was treated with selective embolization of the feeding vessels [3] . Selective splenic artery embolization would be advantageous, as it would preserve the patient's spleen and prevent an increased risk of infection and immunosuppression.…”

“…Selective splenic artery embolization would be advantageous, as it would preserve the patient's spleen and prevent an increased risk of infection and immunosuppression. Moreover, the benefits also include the avoidance of injury to adjacent structures, such as the stomach and pancreas, and the limitation of severe blood loss [3] .…”

Early diagnostis of splenic ectopic pregnancy: A case report and review literature

“…4,5 Most cases of symptomatic splenic pregnancy are diagnosed between 6th -8th week of gestation, and tended to occur earlier than other sites in the abdomen, but later than tubal ectopic pregnancy. 1,2,3,6 Kalof et al postulated most splenic pregnancies at clinical presentation ranged in size from 2.0 to 3.5 cm, and suggested that the risk of rupture in ectopic gestation exceeds this size. 3 Herein, we would like to present a case preoperatively diagnosed by adbominal ultrasound and MRI as a splenic pregnancy with live embryos implanted at the superior pole of the spleen in a middle-aged woman who had an IUD in situ, successfully treated by partial splenectomy before its rupture.…”