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Splenic artery aneurysm rupture during pregnancy.

Cathi Phillips, Jean Bulmer

Nursing for Women'S Health

|March 5, 2014

Summary

Splenic artery aneurysm rupture is a rare but life-threatening cause of abdominal pain in pregnancy. Prompt recognition and hemostatic resuscitation protocols can improve outcomes, but may still result in perinatal loss.

Area of Science:

Obstetrics and Gynecology
Vascular Surgery
Critical Care Medicine

Background:

Abdominal pain is a frequent complaint in obstetric triage, necessitating thorough evaluation.
Splenic artery aneurysm (SAA) rupture is a rare, critical obstetric emergency.
SAA rupture can lead to massive hemorrhage, maternal, and fetal mortality.

Observation:

This case highlights a rare instance of SAA rupture during pregnancy.
The rupture resulted in significant bleeding and subsequent perinatal loss.
Survivors often face severe complications requiring intensive care.

Findings:

SAA rupture is associated with high maternal and fetal mortality rates.
Hemostatic resuscitation protocols have shown potential for improved outcomes.

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Effective management requires multidisciplinary critical care and nursing support.

Implications:

Healthcare providers must be prepared for the critical management of SAA rupture.
Early diagnosis and intervention are crucial for maternal and fetal survival.
Understanding the potential for perinatal loss is essential for family support.