Document Detail

Rupture of splenic artery aneurysm during early pregnancy: a rare and catastrophic event.
MedLine Citation:
PMID:  19683129     Owner:  NLM     Status:  MEDLINE    
Spontaneous rupture of splenic artery aneurysm during pregnancy is a rare, life-threatening event with a catastrophic prognosis. Splenic artery aneurysm, known to be more frequent in women, especially among multiparous ones, is generally asymptomatic until rupture. Because of increased blood flow and hormonal modifications, this rupture occurs frequently during pregnancy, most often at the end of the third trimester. We present the case of a second parous woman in early pregnancy with a rupture of splenic artery aneurysm initially diagnosed as a complicated ectopic pregnancy, which profoundly modifies surgical treatment. Through this case report, we want to draw attention to the fact that even if complicated ectopic pregnancy is much more frequent, ruptured splenic artery aneurysm (SAA) needs to be considered as a part of differential diagnosis of hemoperitoneum during the first trimester as well.
Julien Chookun; Vincent Bounes; Jean Louis Ducassé; Olivier Fourcade
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  27     ISSN:  1532-8171     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-08-17     Completed Date:  2009-09-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  898.e5-6     Citation Subset:  IM    
Pôle d'Anesthésie Réanimation GRC BP 48 Université Paul Sabatier Toulouse, France.
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MeSH Terms
Aneurysm, Ruptured* / complications,  physiopathology
Fatal Outcome
Hemoperitoneum / etiology
Pregnancy Complications, Cardiovascular*
Pregnancy Trimester, First
Rupture, Spontaneous
Shock / diagnosis
Splenic Artery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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