[Splenic emergencies and pregnancy]

The authors report a personal case of spontaneous rupture of the splenic vein during pregnancy, already published elsewhere [6], and study again spontaneous rupture of the splenic vessels, artery or vein, and rupture of the spleen in relation to pregnancy, either during or after labour. In all, 150 cases were found in the world literature. This is an extremely dangerous surgical emergency, and the mother's life is in danger immediately. We attempted to determine the clinical and paraclinical factors which would permit one to lay down the early indications for operation in these two emergencies. Splenectomy remains, in all cases, the basis of surgical treatment. In cases of maternal survival, the late, general and obstetric prognosis remains good.