Splenic ectopic pregnancy is very rare, it is easy to be negligence by doctors and the outcome is ominous if not treated promptly. Here we reported an extremely rare case happened in a young Chinese woman. She was admitted in to hospital by hypovolemic shock. A live splenic ectopic pregnancy was diagnosed by ultrasound. Laparotomy with splenectomy was performed and histology confirmed the diagnosis. Early diagnosis of live splenic ectopic pregnancy is critical important for save patient's life, doctors should aware this disease.