Document Detail

Rupture of splenic artery aneurysm in pregnancy: a review of the literature and report of two cases.
MedLine Citation:
PMID:  20032776     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Splenic artery aneurysms are an uncommon form of vascular disease, which have a significant potential for rupture, most commonly associated with pregnancy, typically presents as sudden, unexpected death. As a consequence, the initial recognition and diagnosis of splenic artery aneurysm rupture take place only at autopsy.
CLINICAL CASES: This report presents 2 cases of sudden death resulting from splenic artery aneurysm in a pregnant woman and a postpartum woman, respectively. The former splenic artery aneurysm were measuring 1 cm in diameter and the latter splenic artery aneurysm 5.5 x 5 x 2 cm in size. Histologic examination of the both vessels wall showed severe morphologic changes of degeneration together with an attenuation of arterial internal elastica.
CONCLUSIONS: To our knowledge, splenic artery aneurysm in pregnant woman is unusual vital disease. It is essential that obstetricians are alert to the prodromal and catastrophic symptoms of splenic artery aneurysm. Early recognition and prompt management, including early resected electively, are vital to the survival of both mother and fetus.
Miao-Xia He; Jian-Ming Zheng; Shu-Hui Zhang; Jian-Jun Wang; Wei-Qiang Liu; Ming-Hua Zhu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of forensic medicine and pathology     Volume:  31     ISSN:  1533-404X     ISO Abbreviation:  Am J Forensic Med Pathol     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-24     Completed Date:  2010-06-10     Revised Date:  2011-02-02    
Medline Journal Info:
Nlm Unique ID:  8108948     Medline TA:  Am J Forensic Med Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  92-4     Citation Subset:  IM    
Department of Pathology, Changhai Hospital, Second Military Medical University, Shanghai, China.
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MeSH Terms
Aneurysm, Ruptured / pathology*
Death, Sudden / etiology*
Forensic Pathology
Pregnancy Complications / pathology*
Puerperal Disorders / pathology*
Splenic Artery / pathology*

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