Double ruptured splenic artery aneurysm in pregnancy: A case report

Nadav Cohen, Steven Warsof, Inbar Ben Shachar, David Peleg

Research output: Contribution to journalArticlepeer-review


BACKGROUND: Splenic artery aneurysm (SAA) rupture is a rare and potentially catastrophic event for the mother and the fetus. The rupture can be masked by a temporary arterial tamponade, referred to as the double rupture phenomenon. CASE: A 32-year-old woman, G5 P2022, at 34 weeks’ gestation presented with moderate diffuse abdominal pain. Although initially stable, a falling hematocrit led to emergent primary cesarean delivery and exploratory laparotomy. A large blood clot was discovered tamponading a ruptured SAA located close to the splenic hilum, which ultimately led to splenectomy. CONCLUSION: Temporary stability due to arterial tamponade of a ruptured SAA may delay the correct diagnosis, especially in pregnancy. Treatment usually includes laparotomy with splenic artery repair or splenectomy.

Original languageEnglish
Pages (from-to)672-674
Number of pages3
JournalThe Journal of reproductive medicine
Issue number6
StatePublished - Dec 2017

Bibliographical note

Publisher Copyright:
© Journal of Reproductive Medicine®, Inc.


  • Aneurysm
  • Aneurysm
  • Double rupture
  • Pregnancy
  • Pregnancy complications
  • Ruptured
  • Spleen


Dive into the research topics of 'Double ruptured splenic artery aneurysm in pregnancy: A case report'. Together they form a unique fingerprint.

Cite this