{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:32:08Z","timestamp":1777447928215,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2023,1,2]],"date-time":"2023-01-02T00:00:00Z","timestamp":1672617600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>A primary splenic ectopic pregnancy is an extremely rare entity; one that is fraught with life-threatening risks due to potential for acute hemorrhage. The diagnosis is challenging to make, and once detected, there is a distinct sense of urgency to perform operative intervention (splenectomy) prior to any impending rupture. This report describes the case of a 34-year-old female, gravida 5, para 3013, at estimated 4\u00a0weeks gestation with a 2.1 \u00d7 1.3\u00a0cm ectopic pregnancy abutting the splenic hilum. Through multidisciplinary management with Obstetrics\/Gynecology (OB\/GYN), Interventional Radiology (IR), and General Surgery teams, the patient received preoperative non-elective splenic artery embolization to mitigate risk of rupture, followed by open splenectomy while remaining hemodynamically stable throughout the course of her treatment. As evidenced by this case, a multidisciplinary approach to this unusual clinical presentation leads to successful patient outcomes and prevents the devastating complication of acute hemorrhage.<\/jats:p>","DOI":"10.1177\/00031348221148339","type":"journal-article","created":{"date-parts":[[2023,1,2]],"date-time":"2023-01-02T09:52:17Z","timestamp":1672653137000},"page":"6273-6275","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Primary Splenic Ectopic Pregnancy Managed With Angioembolization and Splenectomy"],"prefix":"10.1177","volume":"89","author":[{"given":"Kathryn C.","family":"Kelley","sequence":"first","affiliation":[{"name":"Department of Surgery, St. Luke\u2019s University Health Network, Bethlehem, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei Quan","family":"How","sequence":"additional","affiliation":[{"name":"Department of Surgery, St. Luke\u2019s University Health Network, Bethlehem, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noy","family":"Bassik","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology and Diagnostic Radiology, St. Luke\u2019s University Health Network, Bethlehem, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prashant R.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology and Diagnostic Radiology, St. Luke\u2019s University Health Network, Bethlehem, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer Q.","family":"To","sequence":"additional","affiliation":[{"name":"Department of Surgery, St. Luke\u2019s University Health Network, Bethlehem, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan N.","family":"Rambaran","sequence":"additional","affiliation":[{"name":"Department of Surgery, St. Luke\u2019s University Health Network, Bethlehem, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,1,2]]},"reference":[{"key":"bibr1-00031348221148339","doi-asserted-by":"publisher","DOI":"10.5858\/2004-128-e146-SPACRA"},{"key":"bibr2-00031348221148339","first-page":"1184","volume":"34","author":"Zhang Y","year":"2016","journal-title":"Am J Emerg Med"},{"issue":"3","key":"bibr3-00031348221148339","first-page":"242","volume":"35","author":"Rathore R","year":"2019","journal-title":"Turk Patoloji Derg"},{"key":"bibr4-00031348221148339","doi-asserted-by":"publisher","DOI":"10.1111\/jog.13440"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221148339","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348221148339","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221148339","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:36:17Z","timestamp":1777379777000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348221148339"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,2]]},"references-count":4,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1177\/00031348221148339"],"URL":"https:\/\/doi.org\/10.1177\/00031348221148339","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,2]]}}}