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Rupture of an aneurysm of the splenic artery and pregnancy: a case report
P Czekelius1, L Deichert, T Gesenhues
1Medical Centre for Gynaecology and Obstetrics, Philipps University, Marburg, F.R.G.
The mortality risk in rupture of an aneurysm of the splenic artery is 69.4% for pregnant women and 90.8% for the foetus. 95% of all patients are asymptomatic up to this stage. If the aneurysm is diagnosed earlier, the maternal mortality rate can be reduced to 0.5% by prophylactic surgery. 25% of patients with symptoms display prodromes which, with accurate knowledge of the syndrome, make it possible to make an early diagnosis. Characteristics of the disorder, its risk factors, signs for early diagnosis and therapeutic measures, as well as an up-to-date review of the literature are presented here, illustrated by one of our own case studies.
The mortality risk in rupture of an aneurysm of the splenic artery is 69.4% for pregnant women and 90.8% for the foetus. 95% of all patients are asymptomatic up to this stage. If the aneurysm is diagnosed earlier, the maternal mortality rate can be reduced to 0.5% by prophylactic surgery. 25% of patients with symptoms display prodromes which, with accurate knowledge of the syndrome, make it possible to make an early diagnosis. Characteristics of the disorder, its risk factors, signs for early diagnosis and therapeutic measures, as well as an up-to-date review of the literature are presented here, illustrated by one of our own case studies.