title: Primary splenic pregnancy. A case report.
abstract: BACKGROUND
  Ectopic pregnancy in the upper abdominal organs is very rare but has been known to occur in the liver, spleen and lesser sac. Primary splenic pregnancy is considered the rarest form of extrauterine pregnancy, with only few well-documented cases reported.
  
  
  METHODS
  Intraperitoneal bleeding and shock resulted from a primary splenic pregnancy in a 37-year-old woman.
  
  
  CONCLUSIONS
  Primary splenic pregnancy usually presents with upper left abdominal pain and intraperitoneal bleeding. It requires an emergency splenectomy and should be considered in the differential diagnosis of acute abdomen in reproductive-age women.
authors.affiliation: Department of General and Specialized Surgical Sciences, Medical School, University of Bari, Bari, Italy. n.cormio@gynecology2.uniba.it
authors.forename: Gennaro
authors.initials: G
authors.lastname: Cormio
authors.forename: Sabino
authors.initials: S
authors.lastname: Santamato
authors.forename: Antonella
authors.initials: A
authors.lastname: Vimercati
authors.forename: Luigi
authors.initials: L
authors.lastname: Selvaggi
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D010537:Peritoneum; D011247:Pregnancy; D011269:Pregnancy, Abdominal / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D012769:Shock / Q000209:etiology; D013154:Spleen / Q000473:pathology* / Q000601:surgery; D013156:Splenectomy