Department of Radiology, Lithuanian University of Health Sciences, 50009 Kaunas, Lithuania.
Medical Academy, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania.
Medicina (Kaunas). 2024 Mar 13;60(3):470. doi: 10.3390/medicina60030470.
This report describes the case of a 32-year-old woman with ectopic pregnancy in the spleen, which was complicated by active bleeding. The patient complained of intermittent pain in her left side and lower abdomen that lasted several days. The serum beta-human chorionic gonadotropin (β-hCG) was increased, but no intrauterine gestational sac was found via transvaginal sonography. A computed tomography (CT) examination revealed the presence of a heterogeneous structure in the left peritoneal cavity, inferior to the spleen; signs of active extravasation; and a large amount of hemorrhagic fluid in the pelvis. An angiography examination also showed slow active extravasation from a small artery that branches off at the lower pole of the spleen. Coil embolization was performed. Splenic ectopic pregnancy can be managed by minimally invasive methods in carefully selected patients.
本报告描述了一例 32 岁女性的异位妊娠病例，该患者的异位妊娠发生在脾脏，且伴有活跃性出血。患者诉左侧及下腹部间歇性疼痛，持续数天。血清β-人绒毛膜促性腺激素（β-hCG）升高，但经阴道超声检查未发现宫内妊娠囊。计算机断层扫描（CT）检查显示，左腹腔下部脾脏下方存在不均匀结构；有外渗活跃的迹象；骨盆内有大量出血性液体。血管造影检查还显示，从脾脏下极分出的小动脉有缓慢的外渗。进行了线圈栓塞。在仔细选择的患者中，可以采用微创方法治疗脾异位妊娠。
