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A case of ruptured splenic artery aneurysm in pregnancy

Elizabeth K Corey1, Scott A Harvey2, Lynnae M Sauvage2

  • 1Department of Obstetrics and Gynecology, University of Wisconsin, School of Medicine and Public Health, Madison, WI 53715, USA.

Case Reports in Obstetrics and Gynecology
|January 10, 2015
PubMed

Background. Rupture of a splenic artery aneurysm is rare complication of pregnancy that is associated with a significant maternal and fetal mortality. Case. A multiparous female presented in the third trimester with hypotension, tachycardia, and altered mental status. A ruptured splenic artery aneurysm was discovered at the time of laparotomy and cesarean delivery. The patient made a full recovery following resection of the aneurysm. The neonate survived but suffered severe neurologic impairment. Conclusion. The diagnosis of ruptured splenic artery aneurysm should be considered in a pregnant woman presenting with signs of intra-abdominal hemorrhage. Early intervention by a multidisciplinary surgical team is key to preserving the life of the mother and fetus.

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