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Splenic rupture associated with severe preeclampsia. A case report
P S Barrilleaux1, D Adair, G Johnson
1Department of Obstetrics and Gynecology, Louisiana State University Medical Center, Shreveport, USA.
The Journal of Reproductive Medicine
|November 11, 1999
Summary
Postpartum splenic rupture is a rare but fatal obstetric complication. Prompt diagnosis and splenectomy are crucial for survival in cases of hemodynamic instability after delivery.
Area of Science:
- Obstetrics and Gynecology
- Surgical Critical Care
Background:
- Splenic rupture is a rare obstetric complication, with most cases occurring postpartum.
- Unrecognized splenic rupture during pregnancy or postpartum is universally fatal.
Observation:
- A 42-year-old woman with preeclampsia and pulmonary edema developed intrapartum complications.
- Post-cesarean delivery, she experienced hypotension and disseminated intravascular coagulation.
- Exploratory laparotomy revealed a splenic capsular rupture.
Findings:
- Splenectomy and intensive care reversed severe end-organ consequences.
- Early identification and surgical intervention are critical.
Implications:
- Splenic rupture must be considered in the differential diagnosis of postpartum hemodynamic instability.
- Timely intervention is essential for a favorable maternal outcome.