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Splenic pregnancy treated with transcatheter embolization and methotrexate
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Splenic pregnancy treated with transcatheter embolization and methotrexate
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Journal Article
Splenic pregnancy treated with transcatheter embolization and methotrexate
2021
Overview
Background
Primary splenic pregnancy is a rare entity, usually treated with splenectomy.
Case presentation and review of the literature
We report the first case of conservative management of splenic pregnancy with selective embolization and intramuscular methotrexate administration. Postoperative treatment was uneventful. We have further systematically reviewed the literature upon the treatment options in case of splenic pregnancy. It has been evident that most cases were treated with spleenectomy, especially in case of active hemorrhage. Spleen preservation is rarely achieved, only in cases of hemodynamically stable, uncomplicated patients.
Conclusion
Splenic selective embolization could be a treatment option in case of uncomplicated splenic pregnancy with the benefit of splenic preservation.
Publisher
Springer Berlin Heidelberg,Springer Nature B.V
Subject
/ Abortifacient Agents, Nonsteroidal - administration & dosage
/ Adult
/ Embolization, Therapeutic - methods
/ Female
/ Humans
/ Medicine
/ Methotrexate - administration & dosage
/ Methotrexate - therapeutic use
/ Obstetrics/Perinatology/Midwifery
/ Pancreas
/ Pregnancy, Abdominal - drug therapy
/ Pregnancy, Ectopic - diagnosis
/ Review
/ Spleen
