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Splenic Artery Aneurysm in Pregnancy
Jacqueline Parrish1, Cynthia Maxwell2, John Robert Beecroft3
1Department of Biology, University of Toronto, Toronto ON.
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|November 26, 2015
Summary
Splenic artery aneurysms (SAA) in pregnancy are rare but dangerous. This case shows successful embolization of a splenic artery aneurysm during pregnancy, though a splenic abscess developed later, highlighting the need for vigilance.
Area of Science:
- Vascular Surgery
- Obstetrics
- Radiology
Background:
- Splenic artery aneurysm (SAA) is a rare vascular condition, predominantly affecting women.
- Management of SAA during pregnancy presents unique challenges due to increased rupture and hemorrhage risks.
- Limited reports exist on successful pre-rupture SAA management in pregnant individuals.
Observation:
- A case of a 13 × 9 mm splenic artery aneurysm near the splenic hilum in a pregnant woman.
- Successful splenic artery embolization was performed in the third trimester.
- A splenic abscess complication occurred three weeks post-embolization.
Findings:
- Embolization effectively occluded the splenic artery aneurysm.
- The patient delivered a healthy infant following the intervention.
- Despite successful aneurysm treatment, a secondary splenic abscess developed.
Implications:
- Highlights the critical need for heightened awareness of SAA in pregnant patients.
- Emphasizes the high risk of rupture, hemorrhage, and associated maternal/fetal mortality with SAA in pregnancy.
- Suggests careful monitoring for complications post-intervention for SAA in pregnancy.
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