Spontaneous Splenic Rupture Following Vaginal Delivery in Severe Preeclampsia: A Case Report

Chirag Sharma1, Hina Patel1

  • 1Obstetrics and Gynaecology, Gujarat Medical Education and Research Society (GMERS) Medical College and Hospital, Valsad, IND.

Cureus
|January 10, 2024
PubMed

Spontaneous rupture of the spleen during pregnancy is a rare and life-threatening occurrence, typically occurring in the third trimester or postpartum period. The mechanisms behind this phenomenon are still not fully understood, as it can happen without any obvious trauma, and even a minor abdominal strain can trigger it. We present a case of a 25-year-old woman with severe preeclampsia in which vaginal delivery was followed by spontaneous splenic rupture. A splenectomy was performed. Early diagnosis and management are crucial and can be aided by physical examination, ultrasonography, and clinical suspicion. It is imperative for obstetricians to be aware of this potentially fatal condition, as delayed diagnosis and treatment can have serious consequences for both the mother and the neonate.

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