Primary Splenic Ectopic Pregnancy Managed With Angioembolization and Splenectomy.

Area of Science:

• Reproductive Medicine
• Surgical Oncology
• Diagnostic Imaging

Background:

• Primary splenic ectopic pregnancy is exceptionally rare and poses significant risks of acute hemorrhage.
• Diagnosis is challenging, necessitating urgent surgical intervention to prevent rupture.

Observation:

• A 34-year-old female presented with a 4-week estimated gestation ectopic pregnancy adjacent to the splenic hilum.
• The ectopic pregnancy measured 2.1 × 1.3 cm.

Findings:

• A multidisciplinary team involving Obstetrics/Gynecology, Interventional Radiology, and General Surgery managed the case.
• Preoperative splenic artery embolization was performed to reduce hemorrhage risk, followed by open splenectomy.
• The patient remained hemodynamically stable throughout the procedure.

Implications:

• This case highlights the efficacy of a collaborative, multidisciplinary strategy in managing rare obstetric emergencies.
• Timely splenic artery embolization and splenectomy can prevent life-threatening hemorrhage in splenic ectopic pregnancy.
• Successful management underscores the importance of interdisciplinary coordination for complex gynecological and surgical cases.