Journal of Emergency and Internal Medicine

Failure of partial splenectomy to treat splenic ectopic pregnancy

Joint Event on 8^th Edition of International Conference & Exhibition on Pain Management, Physiotherapy & Sports Medicine & 9^th Edition of International Conference on Internal Medicine & Patient Care
March 18-19, 2020 London, UK

Ka Geen Cheung

Greenslopes Private Hospital, Australia

Posters & Accepted Abstracts: J Emerg Intern Med

Abstract

Primary splenic ectopic pregnancies are extremely rare and difficult to diagnose. To our knowledge only 24 published cases exist since 1970. The majority required a total splenectomy for treatment. Two cases were managed conservatively with methotrexate injections, and one was successfully treated with a partial splenectomy only. We present a case of a 31 year old female in which an inital partial splenectomy was unsuccesful in removing the ectopic pregnancy. Due to rising postoperative b-HCG levels, a CT and USS confirmed that the ectopic pregnancy had been left in the remaining spleen. She was taken to theatre again where a total laparoscopic splenectomy was performed. Her recovery was uneventful. Due to the rarity of splenic ectopic pregnancies, and the difficulty in visualising ectopic tissue on a spleen, particularly in the presence of haemoperitoneum, we recommend that surgeons performing a partial splenectomy should confirm the presence of fetal tissue with a pathology service during the intraoperative period.

Biography

Ka Geen Cheung is a general surgical registrar in Australia. She is currently employed at Greenslopes Private Hospital, and presented on multiple topics in general surgery