Abstract
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 language | English |
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Pages (from-to) | 672-674 |
Number of pages | 3 |
Journal | Journal of Reproductive Medicine |
Volume | 62 |
Issue number | 6 |
State | Published - Dec 2017 |
Bibliographical note
Publisher Copyright:© Journal of Reproductive Medicine®, Inc.
Keywords
- Aneurysm
- Aneurysm
- Double rupture
- Pregnancy
- Pregnancy complications
- Ruptured
- Spleen