Splenic artery aneurysm rupture in pregnancy

A multigravid patient was admitted at 34 weeks with abdominal pain, signs of hypovolaemia and an intrauterine death. Ultrasonography and paracentesis revealed bleeding into the peritoneal cavity. The diagnosis of splenic artery aneurysm rupture was considered. Energetic resuscitation and a multidisciplinary approach to surgery allowed a sacular splenic artery aneurysm to be tied off with preservation of both the spleen and the mother's life.