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Abdominal ectopic splenosis in pregnancy: A case report
1Department of Reproductive Endocrinology, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital of Sichuan University, China.
The Journal of International Medical Research
|January 31, 2026
Summary
Ectopic splenosis, a condition involving splenic tissue outside the spleen, can be incidentally found during pregnancy. This case highlights minimal intervention and multimodal imaging for managing this rare pregnancy complication.
Area of Science:
- Reproductive Medicine
- Abdominal Imaging
- Surgical Pathology
Background:
- Ectopic splenosis results from splenic myeloid cell overflow or migration post-trauma/splenectomy.
- It is frequently asymptomatic and incidentally discovered via imaging.
- Splenosis imaging lacks specificity, often mimicking tumors.
Purpose of the Study:
- To report a case of ectopic splenosis diagnosed during pregnancy.
- To emphasize the importance of medical history and multimodal imaging in diagnosis.
- To advocate for a minimal intervention approach in managing pregnancy-complicated splenosis.
Main Methods:
- Case report of a primigravida with incidentally detected abdominal masses during prenatal ultrasound.
- Multidisciplinary consultation and tumor marker analysis.
- Labor induction using misoprostol and a Cook balloon, followed by vaginal delivery.
Main Results:
- Multiple hypoechoic masses consistent with ectopic splenosis were identified.
- The patient remained asymptomatic throughout pregnancy.
- Successful vaginal delivery was achieved with minimal intervention.
Conclusions:
- Ectopic splenosis in pregnancy requires careful diagnostic consideration, differentiating it from neoplastic conditions.
- A detailed medical history and multimodal imaging are crucial for accurate diagnosis.
- A conservative, minimal intervention strategy is recommended for managing pregnancy-associated splenosis.
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