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Splenic artery aneurysm rupture in pregnancy
Henna Rasool Khan1, Samantha Low, Mark Selinger
1Department of Obstetrics and Gynaecology, Royal Berkshire Hospital, Reading, London. hkhan135@aol.com
Summary
Rupture of a splenic artery aneurysm during pregnancy is rare but dangerous. This case highlights successful emergency management in a 32-week pregnant patient, saving both mother and baby.
Area of Science:
- Obstetrics and Gynecology
- Vascular Surgery
- Emergency Medicine
Background:
- Splenic artery aneurysms (SAAs) are rare vascular lesions.
- Rupture of SAAs is a life-threatening emergency, particularly during pregnancy.
- Pregnancy is a known risk factor for SAA rupture due to physiological changes.
Observation:
- A 32-week pregnant patient presented with severe abdominal pain and collapse.
- Sudden fetal distress was noted, necessitating urgent intervention.
- Diagnosis of splenic artery aneurysm rupture was confirmed during emergency surgery.
Findings:
- Emergency cesarean delivery was performed due to fetal distress.
- The ruptured splenic artery aneurysm was successfully managed.
- Both mother and neonate had an uneventful recovery post-intervention.
Implications:
- This case underscores the importance of prompt diagnosis and multidisciplinary care in managing SAA rupture during pregnancy.
- Timely surgical and obstetric intervention can lead to favorable maternal and fetal outcomes.
- Highlights the need for increased awareness of SAA rupture as a cause of catastrophic hemorrhage in pregnant patients.