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Case of spontaneous splenic rupture caused by ectopic pregnancy in the spleen
Author(s) -
Wu BaoQiang,
Zhu Feng,
Jiang Yong,
Sun DongLin
Publication year - 2017
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.13440
Subject(s) - medicine , exploratory laparotomy , spleen , splenectomy , laparotomy , ectopic pregnancy , pregnancy , surgery , shock (circulatory) , abdominal pain , abdominal trauma , hemorrhagic shock , radiology , resuscitation , blunt , biology , genetics
Splenic ectopic pregnancy refers to the implantation of the oosperm in the spleen. If not diagnosed early, the results of this phenomenon would almost certainly be splenic rupture, which is equivalent to the spontaneous rupture of the spleen. If the patient has no history of trauma, it is difficult to diagnose this condition early and an explicit diagnosis is often obtained by exploratory laparotomy. We report the case of a 27‐year‐old woman who was admitted to the hospital due to abdominal pain and hemorrhagic shock. Under emergency general anesthesia, gynecologist and hepatobiliary surgeons worked together to conduct an exploratory laparotomy. It was confirmed during surgery that this was ectopic pregnancy in the spleen, which caused rupture of the spleen. Hence, splenectomy was conducted. Postoperative recovery was good.