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Successful embolisation of a ruptured splenic artery aneurysm in a high-risk pregnancy

Emily Wilson1, Thomas Ryan1, Jacqueline Slater1

  • 1Royal Hobart Hospital, Hobart, Australia.

Obstetric Medicine
|July 21, 2025
PubMed

Splenic artery aneurysm (SAA) rupture in pregnancy is an unpredictable and rare emergency associated with maternal and fetal mortality. Ruptured SAA is characteristically diagnosed at laparotomy and managed with splenectomy, with embolisation favoured for uncomplicated cases. We report a case of a ruptured SAA in a morbidly obese pregnant woman with medical comorbidities, who presented as a diagnostic dilemma, but was subsequently managed successfully with interventional radiology at the time of caesarean section.

Keywords:
Splenic artery aneurysmembolisationendovascularinterventional radiologymorbid obesitypregnancy

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