{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:42:46Z","timestamp":1760028166608},"reference-count":5,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,6,13]],"date-time":"2012-06-13T00:00:00Z","timestamp":1339545600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 31\u2010year\u2010old woman presented to the emergency department with sudden onset left upper quadrant pain radiating to the left shoulder. Urine \u03b2\u2010hCG test was positive. Transvaginal sonography was suggestive of ruptured ectopic pregnancy with a large amount of free fluid in the pouch of Douglas. The patient was then taken for emergency laparoscopy. On laparoscopy, hemoperitoneum was noted but both the fallopian tubes and ovaries were normal. On further exploration, bleeding was noted from the spleen so laparotomy was performed and emergency splenectomy was carried out by a surgeon. The histopathology report of the spleen confirmed a splenic ectopic pregnancy. On postoperative follow\u2010up, the patient's quantitative serum \u03b2\u2010hCG started rising again, which raised suspicion of another pregnancy. After serial \u03b2\u2010hCG and ultrasound, a failed intrauterine pregnancy was diagnosed. Suction evacuation was performed, with histopathology confirming products of conception.<\/jats:p>","DOI":"10.1111\/j.1447-0756.2012.01920.x","type":"journal-article","created":{"date-parts":[[2012,6,13]],"date-time":"2012-06-13T09:38:34Z","timestamp":1339580314000},"page":"367-370","source":"Crossref","is-referenced-by-count":17,"title":["Heterotopic simultaneous splenic and intrauterine pregnancy after spontaneous conception and review of literature"],"prefix":"10.1111","volume":"39","author":[{"given":"Shital","family":"Julania","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Tai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,6,13]]},"reference":[{"key":"e_1_2_7_2_2","first-page":"105","article-title":"Heterotopic pregnancy with spontaneous intrauterine conception: A rare clinical entity with diagnostic dilemma","volume":"6","author":"Rawal S","year":"2008","journal-title":"Kathmandu Univ Med J"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2004.10.047"},{"key":"e_1_2_7_4_2","doi-asserted-by":"crossref","first-page":"146","DOI":"10.5858\/2004-128-e146-SPACRA","article-title":"Splenic pregnancy: A case report and review of literature","volume":"128","author":"Kalof A","year":"2004","journal-title":"Arch Pathol Lab Med"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-007-0356-y"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2009.05176.x"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1447-0756.2012.01920.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1447-0756.2012.01920.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T01:57:28Z","timestamp":1697335048000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/j.1447-0756.2012.01920.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,6,13]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,1]]}},"alternative-id":["10.1111\/j.1447-0756.2012.01920.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1447-0756.2012.01920.x","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,6,13]]}}}