Successful Laparoscopic Management of Early Splenic Pregnancy: Case Report and Review of Literature

被引:17
|
作者
Gang, Guo [1 ]
Yang Yudong [2 ]
Zhang, Guoan [3 ]
机构
[1] Peoples Liberat Army Gen Hosp, Dept Urol, Beijing 100853, Peoples R China
[2] PLA 273 Hosp, Dept Surg 1, Kurle, Peoples R China
[3] PLA 273 Hosp, Dept Gynecol, Kurle, Peoples R China
关键词
Ectopic pregnancy; Laproscopy; Splenic pregnancy; ABDOMINAL PREGNANCY;
D O I
10.1016/j.jmig.2010.07.004
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Splenic pregnancy is the least common form of ectopic pregnancy. A 32-year-old woman, gravida 5, para 2, had not menstruated for 46 days, and had spotty bleeding for 6 days and lower abdominal pain for 2 days. The initial beta-human chorionic gonadotropin concentration was 38 913.3 IU/L. Transvaginal ultrasound examination demonstrated an empty uterine cavity, and a gestational sac 4.3 X 4.0 mm in diameter, with no fetal pole or yolk sac, located just adjacent to the splenic region. Laparoscopic surgery demonstrated intact pelvic organs and an ectopic mass on the spleen. The splenic pregnancy was successfully treated via laparoscopic embryo methotrexate injection, with preservation of the uterus and spleen. As evidenced in this case, laparoscopic embryo methotrexate injection is a minimally invasive and effective method of diagnosis and treatment of early splenic pregnancy. Journal of Minimally Invasive Gynecology (2010) 17, 794-797 (C) 2010 AAGL. All rights reserved.
引用
收藏
页码:794 / 797
页数:4
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