Michaud P, Robillot P, Tescher M
Service de Gynécologie-Obstétrique du CHR d'Orléans.
Rev Fr Gynecol Obstet. 1988 Apr;83(4):281-2.
Spontaneous rupture of the spleen related to an ectopic pregnancy is exceptional but must be kept in mind. The clinical picture is dominated by signs of haemoperitoneum and shock. Except in an emergency, the plasma BhCG titration, abdominal ultrasonography and CT-Scan, offer a major contribution. If the exploration through a Pfannenstiel incision is normal, the surgeon should not hesitate to extend it through the mid-line. The diagnosis is almost always made on pathological examination.
