Acute abdomen with bones in the spleen.
BACKGROUND
A 28-year old female presented with a non-radiating persistent left upper quadrant pain and tenderness for 5 weeks.


METHODS
A preliminary CT scan displayed bony structures in the spleen. A delayed scanning subsequently showed the bones to have changed position, consistent with a life fetus.


RESULTS
Ultrasound confirmed the CT findings, and ascertained the fetus to be consistent with 13 weeks of gestation. Laparoscopic splenectomy was performed and examination of the intact spleen confirmed a male fetus that was morphologically normal.


CONCLUSIONS
This is the first report of fetal bony structures in the spleen associated with an advanced intra-splenic pregnancy.
Aguh
Chike J
CJ
Department of Obstetrics, Gynecology, and Reproductive Sciences, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ 08901-1977, USA.
Salihu
Hamisu M
HM
Buckley
Abraham
A
Imegwu
Obi
O
Ryave
Steven
S
Yang
Roger S
RS
Stanford
Brian
B
Vintzileos
Anthony M
AM
D000006:Abdomen, Acute / Q000000981:diagnostic imaging / Q000209:etiology*; D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D011269:Pregnancy, Abdominal / Q000175:diagnosis*; D013154:Spleen / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography