Spontaneous splenic rupture in pregnancy

Area of Science:

• Obstetrics and Gynecology
• Surgical Emergencies
• Trauma Surgery

Background:

• Splenic rupture during pregnancy is a rare obstetric emergency.
• It is often misdiagnosed and associated with high maternal and fetal mortality rates.

Observation:

• A 26-year-old pregnant woman presented with severe abdominal pain and hypovolemic shock.
• Physical and sonographical examination revealed massive hemoperitoneum.

Findings:

• Emergent laparotomy and cesarean delivery were performed.
• Active bleeding at the splenic hilum confirmed splenic rupture.

Implications:

• This case highlights the critical need for prompt diagnosis and management of splenic rupture in pregnancy.
• Timely surgical intervention can prevent catastrophic consequences and improve survival rates.