Spontaneous Rupture of a Splenic Artery Aneurysm in Pregnancy: Report of Two Cases

S. Shahabi*, J. Jani, L. Masters, L. Cobin, J. Greindl

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

30 Scopus citations

Abstract

The spontaneous rupture of a splenic artery aneurysm during pregnancy is a rare but catastrophic event. Two cases are reported, both involving fetal death and one maternal death as well. A review of the literature covering this condition shows that mortality amongst pregnant women remains high at 75% with 95% fetal loss, which compares wilh a 25% mortality rate amongst non-pregnant women. Clinical presentation is often non-specific, with good haemodynamic compensation, followed by a rapid deterioration. The best investigation appears to be a diagnostic laparotomy. The discussion stresses the importance of early diagnosis faced with this serious condition, as well as the potential benefits of a prompt lower mid-line incision in terms of statistical survival for both mother and fetus.

Original languageEnglish (US)
Pages (from-to)231-233
Number of pages3
JournalActa Chirurgica Belgica
Issue number5
StatePublished - Oct 1 2000

Keywords

  • Aneurysm
  • Diagnosis
  • Pregnancy
  • Rupture
  • Splenic artery

ASJC Scopus subject areas

  • Surgery

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