Splenic Pregnancy: A New Minimally Invasive Approach to Treatment

Cardiovasc Intervent Radiol. 2016 Sep;39(9):1339-42. doi: 10.1007/s00270-016-1403-5. Epub 2016 Jun 29.

Abstract

The spleen is a rare site of abdominal ectopic pregnancy. In a review of the literature, we found 16 published cases of primary splenic pregnancies. Of the cases identified, all received surgical intervention, with one case successfully treated with laparoscopic methotrexate injection, and the rest underwent splenectomy. We would like to present a case of primary splenic pregnancy in a 35-year-old woman successfully treated with percutaneous image-guided injection of methotrexate and KCl.

Keywords: Extrauterine; Percutaneous administration; Pregnancy; Spleen.

Publication types

  • Case Reports

MeSH terms

  • Abortifacient Agents, Nonsteroidal / administration & dosage*
  • Adult
  • Female
  • Humans
  • Methotrexate / administration & dosage*
  • Pregnancy
  • Pregnancy, Abdominal / therapy*
  • Spleen
  • Ultrasonography, Interventional / methods*

Substances

  • Abortifacient Agents, Nonsteroidal
  • Methotrexate