98%
921
2 minutes
20
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.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10475387 | PMC |
http://dx.doi.org/10.1016/j.radcr.2023.08.026 | DOI Listing |
Case Rep Womens Health
October 2025
The International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200030, China.
Progression of a caesarean scar ectopic pregnancy (CSEP) to a live birth is exceptionally rare. Whether the placenta should be removed during a caesarean section for patients with a CSEP complicated by severe placenta accreta spectrum remains unclear. This report presents the case of a 42-year-old multigravida with two prior caesarean sections who presented with CSEP at 6 weeks.
View Article and Find Full Text PDFMedicine (Baltimore)
September 2025
Department of Obstetrics and Gynecology, Hebei University Affiliated Hospital, Hebei, China.
Rationale: Cesarean scar pregnancy with molar pregnancy is a rare but high-risk pregnancy complication characterized by the implantation of a fertilized egg in the uterine scar following cesarean section, accompanied by pathological manifestations of a hydatidiform mole. This paper reports a clinical case of hydatidiform mole in a cesarean scar and reviews the literature to understand its diagnosis and treatment strategies.
Patient Concerns: We reported a 33-year-old woman who presented to our hospital with intermittent vaginal bleeding for over 2 months following uterine curettage.
Ann Intern Med
September 2025
Department of Medicine, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada (J.G.R.).
Background: Animal studies show ovarian follicle damage and mutagenesis after ionizing radiation exposure. Computed tomography (CT) imaging is commonly done outside pregnancy, but risks to future pregnancy are unknown.
Objective: To evaluate the risk for spontaneous pregnancy loss and congenital anomalies in offspring of women exposed to CT ionizing radiation before conception.
BJR Case Rep
September 2025
Department of Radiology, Children Hospital of Rabat, Ibn Sina University Hospital, Faculty of medicine and pharmacy of Rabat, University Mohammed V, Rabat, 10100, Morocco.
Heterotopic pregnancy refers to the concomitant presence of an intrauterine pregnancy and an ectopic pregnancy (EP). It is rare and more frequently found in women who have undergone medically assisted procreation. An abdominal location of the ectopic gestational sac is even less common, accounting for 1.
View Article and Find Full Text PDFContraception
September 2025
University of Maryland School of Medicine, 11 S Paca Street, Suite 400, Baltimore MD 21201.
We present a case of cesarean scar ectopic pregnancy that was diagnosed after failed no-test medication abortion at 4 weeks gestation. The patient was treated with dilation, suction aspiration and intrauterine Foley balloon placement. No adverse outcome occurred.
View Article and Find Full Text PDF