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Related Experiment Video

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Splenic embolization for abdominal trauma during pregnancy.

Y Athiel1, A Vivanti2, H Tranchart1

  • 1Service de chirurgie digestive minimale invasive, hôpital Antoine-Béclère, AP-HP, 92140 Clamart, France; Faculté de médecine Paris-Sud, université Paris-Saclay, 91405 Orsay, France.

Journal of Visceral Surgery
|August 25, 2019
PubMed
Summary

Splenic trauma in late pregnancy was successfully managed with arterial embolization, preserving the spleen. This approach offers a favorable outcome and warrants consideration in obstetric emergencies.

Keywords:
Abdominal traumaPregnancySplenic embolization

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Area of Science:

  • Obstetrics and Gynecology
  • Trauma Surgery
  • Interventional Radiology

Background:

  • Splenic trauma during pregnancy is rare but poses significant risks.
  • Management options traditionally include splenectomy, risking maternal and fetal complications.
  • Arterial embolization offers a less invasive alternative for splenic injury.

Observation:

  • A case of splenic trauma occurred in the third trimester of pregnancy.
  • The patient underwent successful arterial embolization.
  • The spleen was preserved following the intervention.

Findings:

  • Arterial embolization is an effective treatment for splenic trauma in late pregnancy.
  • Spleen preservation was achieved, avoiding the risks of splenectomy.
  • The management strategy resulted in a favorable maternal and fetal outcome.

Implications:

  • Arterial embolization should be considered as a viable management option for splenic trauma during pregnancy.
  • Careful consideration of maternal, obstetrical, and fetal factors is crucial when deciding on treatment.
  • This approach may improve outcomes for pregnant patients with splenic injuries.