A rare cause of abdominal pain and hypotension in pregnancy

Jonathan D Monti1

  • 1Maj. Jonathan D. Monti is the director of the US Army/Baylor Emergency Medicine Physician Assistant Residency Program at Madigan Army Medical Center in Tacoma, Wash. The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or reflecting the views of the Department of the Army or the Department of Defense. The author has disclosed no potential conflicts of interest, financial or otherwise.

Splenic artery aneurysm rupture is rare. Pregnancy is a significant risk factor and the mortality for mother and fetus is very high if the rupture is undiagnosed or diagnosis is delayed. Patients typically present with abdominal pain and hemodynamic instability. This article describes a woman and fetus who survived a ruptured splenic artery aneurysm.

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