1. Splenic ectopic pregnancy: Rare location of ectopic pregnancy, how does it present?
- Author
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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, and Nguyen Duy Anh, MD, PhD
- Subjects
Ectopic pregnancy ,Splenic ectopic pregnancy ,Intrauterine device ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 - Abstract
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
- 2023
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