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Ruptured Splenic Artery Aneurysm in the Postpartum Patient: A Case Series.
Angel Rochester1, Tracy Lance1, Dane E Smith2
1Prisma Health Upstate, Department of Emergency Medicine, Greenville, South Carolina.
Clinical Practice and Cases in Emergency Medicine
|September 14, 2020
Summary
Ruptured splenic artery aneurysms (SAAs) are rare but life-threatening emergencies in postpartum patients. Prompt diagnosis and treatment are crucial for maternal and fetal survival.
Area of Science:
- Emergency Medicine
- Obstetrics & Gynecology
- Vascular Surgery
Background:
- Unstable peripartum patients require broad differential diagnoses.
- Splenic artery aneurysms (SAAs) are rare but critical considerations.
- SAAs pose significant risks of morbidity and mortality.
Purpose of the Study:
- To report on two unusual cases of postpartum SAAs.
- To highlight the diagnostic challenges and critical management of ruptured SAAs.
Main Methods:
- Case series design.
- Review of two postpartum patients with ruptured SAAs.
Main Results:
- Both patients presented with ruptured SAAs.
- Varied clinical presentations were observed.
Conclusions:
- SAAs are frequently misdiagnosed.
- Early diagnosis is vital for fetal well-being.
- Expedited diagnosis and treatment in shock are lifesaving for mother and fetus.
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