A Case Report of Traumatic Rupture of Splenic Pregnancy

Primary splenic pregnancy is a rare type of ectopic pregnancy, which could easily rupture in the early stage of pregnancy, causing life-threatening intraabdominal haemorrhage. Rupture of splenic pregnancy due to trauma is even rarer. We reported a case of splenic pregnancy occurring in a female patient of reproductive age. She was injured by the handlebar on the upper left abdomen while riding a bicycle, causing intraabdominal haemorrhage. Ultrasound showed splenic rupture. The patient underwent emergency surgery, and was diagnosed with a rupture of splenic pregnancy by postoperative pathology. It is an extremely rare case where the patient was diagnosed splenic pregnancy due to a traumatic rupture and haemorrhage. We hope this case can be helpful in the evaluation and diagnosis of acute abdomen in women of reproductive age. (Hong Kong j.emerg.med. 2015;22:312-315)