Progestogen-only oral contraception and ectopic gestation.

a live baby was made. Caesarean section through a Pfannenstiel incision revealed a posterior type III placenta praevia but no sign of accidental haemorrhage. A healthy girl was delivered. During examination of the ovaries a clot of blood was removed from the left paracolic gutter and considerable bleeding was apparent from the splenic area. A large left paramedian incision was added and the haemorrhage controlled by packs. Rapid splenectomy was then performed with double ligation of the splenic artery proximal to the aneurysmal dilatation. Recovery was uncomplicated and the patient and her daughter were discharged on the twelfth day.