Document Detail


Ruptured splenic artery aneurysm in pregnancy. Twelfth reported case with maternal and fetal survival.
MedLine Citation:
PMID:  8317525     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ruptured splenic artery aneurysm during pregnancy is a rare event with catastrophic consequences. This presentation is the twelfth case during pregnancy reporting survival of both mother and fetus. The literature reports a 25% mortality rate for ruptured splenic artery aneurysm. The mortality rate among pregnant women is disproportionately high at 75% with a fetal mortality rate of 95%. Gestational alterations that increase with parity are significant in the pathophysiologic characteristics of this condition. A unique double-rupture phenomenon may provide temporary tamponade with resolution of symptoms. A diagnosis of ruptured splenic artery aneurysm should be considered in any pregnant patient who complains of the sudden onset of severe left upper-abdominal pain regardless of whether pain or shock is prominent at the time of evaluation. Early consideration of a diagnosis of ruptured splenic artery aneurysm significantly increases the likelihood that the mother and fetus will survive.
Authors:
J C Caillouette; E B Merchant
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  168     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1993 Jun 
Date Detail:
Created Date:  1993-07-28     Completed Date:  1993-07-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1810-1; discussion 1811-3     Citation Subset:  AIM; IM    
Affiliation:
Huntington Memorial Hospital, Pasadena, CA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm / mortality,  surgery*
Cesarean Section
Female
Fetal Death
Humans
Maternal Mortality
Pregnancy
Pregnancy Complications, Cardiovascular*
Rupture, Spontaneous
Splenic Artery*
Survival Analysis

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


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