Document Detail


Emergency laparoscopic splenectomy for haemoperitoneum because of ruptured primary splenic pregnancy: a case report and review of literature.
MedLine Citation:
PMID:  20575881     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Primary abdominal pregnancies are potentially life-threatening, particularly without an accurate preoperative diagnosis. CASE: A 41-year-old woman presented to the emergency room with 2 days-lasting left upper quadrant abdominal pain, irradiated to the left shoulder. An urine beta-human chorionic gonadotropin test was positive. Transvaginal sonography raised a suspicion of ectopic pregnancy. The patient was then submitted to abdominal laparoscopy that revealed no sign of active bleeding or ectopic pregnancy. Because of worsening of abdominal pain and progressive anaemia, the patient underwent abdominal ultrasound and multislice computerized tomography scan (TC) that showed the presence of a mass at the superior splenic pole with haemoperitoneum. The patient was taken to the operating room and submitted to a laparoscopic total splenectomy. The post-operative course was uneventful, and the patient was discharged 8 days after intervention. CONCLUSION: Abdominal pregnancy should be considered in the differential diagnosis of acute abdomen in women of reproductive age. Abdominal ultrasound and computerized tomography studies must be performed before operative treatment if an ectopic pregnancy is suspected and no intrauterine gestational sac could be showed on transvaginal sonography.
Authors:
Federico Biolchini; Alessandro Giunta; Luciano Bigi; Celestino Bertellini; Claudio Pedrazzoli
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  ANZ journal of surgery     Volume:  80     ISSN:  1445-2197     ISO Abbreviation:  ANZ J Surg     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-06-25     Completed Date:  2010-10-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101086634     Medline TA:  ANZ J Surg     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  55-7     Citation Subset:  IM    
Affiliation:
I Division of General and Oncological Surgery, Arcispedale Santa Maria Nuova, viale Risorgimento 80, 42100 Reggio Emilia, Italy. federico.biolchinif@asmn.re.it
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MeSH Terms
Descriptor/Qualifier:
Abdomen, Acute / diagnosis,  etiology*,  surgery
Adult
Diagnosis, Differential
Female
Hemoperitoneum / diagnosis,  etiology,  surgery*
Humans
Laparoscopy
Pregnancy
Pregnancy, Abdominal / diagnosis*,  surgery*
Splenectomy*
Splenic Rupture / diagnosis,  etiology,  surgery*
Tomography, X-Ray Computed

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