BÁO CÁO CA LÂM SÀNG: TRƯỜNG HỢP THAI NGOÀI TỬ CUNG Ở LÁCH TẠI BỆNH VIỆN QUÂN Y 175

Abstract

Primary splenic ectopic pregnancy (SEP) is an extremely rare condition that is difficult to diagnose and one of the leading causes of maternal mortality during the first trimester of pregnancy. Early diagnosis allows for the selection of various conservative treatment methods instead of splenectomy, as was common in the past. In this report, we present a case of primary splenic ectopic pregnancy (SEP) diagnosed and treated at Military Hospital 175. The patient was admitted to the hospital due to abdominal pain. Transvaginal ultrasound revealed intra-abdominal fluid with echoes, a normal uterus, and no gestational sac in the uterine cavity. Laboratory tests showed significantly elevated βHCG levels. The patient subsequently underwent contrast-enhanced computed tomography (CT), which revealed a rim-enhancing mass at the upper pole of the spleen accompanied by perisplenic hematoma. The patient was treated with an open surgical splenectomy. Imaging techniques must be promptly performed in cases of abdominal pain and missed periods in women of reproductive age to facilitate early diagnosis and appropriate treatment.