Case report: primary splenic ectopic pregnancy gynecology-obstetric and neonatal hospital “dr. Jaime sánchez pórcel” june 2023 sucre-bolivia

Abstract

Ectopic pregnancy, or extrauterine pregnancy,
is that in which the blastocyst implants in any
other place that is not the endometrial lining of
the uterine cavity. 1
Its most frequent localization is the Fallopian
tube (95-96%). However, there are other possible implantation sites, less frequent, but have
become more and more important over the last
years: ovarian, cervical, abdominal and caesarean scar pregnancy, particularly this last one. 2
As to abdominal ectopic pregnancies, the most
common implantation site within the abdomen is
the cul-de-sac; there were confirmed pregnancies at the mesosalpinx, omentum and bowel,
liver, spleen, abdominal wall and within the
broad ligament of the uterus. Abdominal ectopic
pregnancy is associated with high morbidity and
mortality, being its mortal risk 7 to 8 times the
one of a tube pregnancy and up to 50 times the
risk of an intrauterine pregnancy. 3
We present the case of a 34-year-old patient,
gravida 2, para 1. Among her antecedents she
has a salpingectomy due to an ectopic tubal
pregnancy 10 years ago. Other non- gynecological surgical antecedents include an osteosynthesis due to a clavicle fracture 13 years ago
and an augmentation mammoplasty 4 years
ago; family history reports only Parkinson disease of her mother and maternal uncles and
aunts.