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Application of Microwave Ablation in Laparoscopic Partial Splenectomy
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Primary splenic pregnancy: a case report.

Changjing Li1, Guorong Zhao1, Jiakun Duan1

  • 1Department of Radiology, The First Affiliated Hospital of Dali University, Dali, Yunnan Province, China.

Journal of Medical Case Reports
|March 22, 2026
PubMed
Summary
This summary is machine-generated.

Splenic pregnancy, a rare form of abdominal pregnancy, presents diagnostic challenges. Advanced imaging techniques like ultrasound and CT/MRI are crucial for early detection and management of this ectopic pregnancy.

Keywords:
Abdominal painExploratory laparoscopySplenic pregnancyUltrasonographyX-ray computed tomography

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Area of Science:

  • Reproductive Medicine
  • Surgical Pathology

Background:

  • Abdominal pregnancy involves extrauterine implantation outside the uterus, fallopian tubes, and ovaries.
  • Splenic pregnancy is an exceedingly rare subtype of abdominal pregnancy.

Purpose of the Study:

  • To report a case of splenic pregnancy diagnosed via advanced imaging.
  • To highlight the diagnostic difficulties and imaging modalities for splenic pregnancy.

Main Methods:

  • A 24-year-old female presented with symptoms suggestive of ectopic pregnancy.
  • Transvaginal ultrasound failed to locate an intrauterine pregnancy; abdominal ultrasound revealed a splenic anomaly.
  • Serum beta-hCG levels were significantly elevated.

Main Results:

  • Diagnosis of splenic pregnancy was confirmed by abdominal ultrasound and subsequent pathology.
  • The patient had a history of tubal recanalization for bilateral tubal obstruction.

Conclusions:

  • Splenic pregnancy diagnosis is challenging due to non-specific symptoms.
  • Enhanced ultrasound, CT, or MRI are vital for detecting ectopic lesions.
  • Laparoscopic exploration may be necessary for definitive diagnosis when imaging is inconclusive.