Document Detail

Rupture of splenic artery aneurysm with portal hypertension during pregnancy: a case report.
MedLine Citation:
PMID:  16776908     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Spontaneous rupture of a splenic artery aneurysm (SAA) during pregnancy is a rare event with catastrophic consequences. This report presents a case of SAA associated with portal hypertension that ruptured during pregnancy with maternal survival. CASE: A 27-year-old primigravid woman at 31 weeks of gestation presented to the Emergency Department at Pars Hospital in Tehran, Iran with sudden onset of severe abdominal pain. She was in obvious distress with blood pressure of 90/50 mm Hg and a pulse rate of 110 beats per minute. Abdominal ultrasound confirmed free fluid in the peritoneal cavity. The patient was immediately transferred to the operating room. An infant delivered by Caesarean section died shortly thereafter. There was no evidence of placental abruption, but about 2 L of blood was noted in the abdominal cavity. A ruptured SAA was found. Proximal ligation of the splenic artery was performed followed by splenectomy. The patient did well and was discharged on the eighth postoperative day. CONCLUSION: This case illustrates the need to consider ruptured SAA as part of differential diagnosis of hemoperitoneum in pregnant women. Immediate surgical intervention is needed to ensure survival of mother and fetus.
Shahla Chaichian; Abolfazl Mehdizadeh; Abdolrasoul Akbarian; Bahram Groohi; Nazila Khanahmadi; Reza Alaghehbandan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC     Volume:  28     ISSN:  1701-2163     ISO Abbreviation:  J Obstet Gynaecol Can     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-06-16     Completed Date:  2006-07-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101126664     Medline TA:  J Obstet Gynaecol Can     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  303-4     Citation Subset:  IM    
Islamic Azad University, School of Medical Sciences of Tehran, Tehran, Iran.
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MeSH Terms
Aneurysm, Ruptured / diagnosis*,  etiology,  surgery
Cesarean Section
Diagnosis, Differential
Hypertension, Portal / complications,  diagnosis*
Pregnancy Complications, Cardiovascular / diagnosis*
Prenatal Diagnosis
Splenic Artery / surgery*

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

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