A Case of Ruptured Splenic Artery Aneurysm in Pregnancy

Background. Rupture of a splenic artery aneurysm is rare complication of pregnancy that is associated with a significant maternal and fetal mortality. Case. A multiparous female presented in the third trimester with hypotension, tachycardia, and altered mental status. A ruptured splenic artery aneur...

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Main Authors: Elizabeth K. Corey, Scott A. Harvey, Lynnae M. Sauvage, Justin C. Bohrer
Format: Article
Language:English
Published: Hindawi Limited 2014-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2014/793735
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spelling doaj-04112afd83b14bf3b0bbb334a06beecd2020-11-25T01:24:58ZengHindawi LimitedCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/793735793735A Case of Ruptured Splenic Artery Aneurysm in PregnancyElizabeth K. Corey0Scott A. Harvey1Lynnae M. Sauvage2Justin C. Bohrer3Department of Obstetrics and Gynecology, University of Wisconsin, School of Medicine and Public Health, Madison, WI 53715, USADepartment of Obstetrics, Gynecology, and Women’s Health, University of Hawai‘i, John A. Burns School of Medicine, Honolulu, HI 96813, USADepartment of Obstetrics, Gynecology, and Women’s Health, University of Hawai‘i, John A. Burns School of Medicine, Honolulu, HI 96813, USADepartment of Obstetrics and Gynecology, University of Wisconsin, School of Medicine and Public Health, Madison, WI 53715, USABackground. Rupture of a splenic artery aneurysm is rare complication of pregnancy that is associated with a significant maternal and fetal mortality. Case. A multiparous female presented in the third trimester with hypotension, tachycardia, and altered mental status. A ruptured splenic artery aneurysm was discovered at the time of laparotomy and cesarean delivery. The patient made a full recovery following resection of the aneurysm. The neonate survived but suffered severe neurologic impairment. Conclusion. The diagnosis of ruptured splenic artery aneurysm should be considered in a pregnant woman presenting with signs of intra-abdominal hemorrhage. Early intervention by a multidisciplinary surgical team is key to preserving the life of the mother and fetus.http://dx.doi.org/10.1155/2014/793735
collection DOAJ
language English
format Article
sources DOAJ
author Elizabeth K. Corey
Scott A. Harvey
Lynnae M. Sauvage
Justin C. Bohrer
spellingShingle Elizabeth K. Corey
Scott A. Harvey
Lynnae M. Sauvage
Justin C. Bohrer
A Case of Ruptured Splenic Artery Aneurysm in Pregnancy
Case Reports in Obstetrics and Gynecology
author_facet Elizabeth K. Corey
Scott A. Harvey
Lynnae M. Sauvage
Justin C. Bohrer
author_sort Elizabeth K. Corey
title A Case of Ruptured Splenic Artery Aneurysm in Pregnancy
title_short A Case of Ruptured Splenic Artery Aneurysm in Pregnancy
title_full A Case of Ruptured Splenic Artery Aneurysm in Pregnancy
title_fullStr A Case of Ruptured Splenic Artery Aneurysm in Pregnancy
title_full_unstemmed A Case of Ruptured Splenic Artery Aneurysm in Pregnancy
title_sort case of ruptured splenic artery aneurysm in pregnancy
publisher Hindawi Limited
series Case Reports in Obstetrics and Gynecology
issn 2090-6684
2090-6692
publishDate 2014-01-01
description Background. Rupture of a splenic artery aneurysm is rare complication of pregnancy that is associated with a significant maternal and fetal mortality. Case. A multiparous female presented in the third trimester with hypotension, tachycardia, and altered mental status. A ruptured splenic artery aneurysm was discovered at the time of laparotomy and cesarean delivery. The patient made a full recovery following resection of the aneurysm. The neonate survived but suffered severe neurologic impairment. Conclusion. The diagnosis of ruptured splenic artery aneurysm should be considered in a pregnant woman presenting with signs of intra-abdominal hemorrhage. Early intervention by a multidisciplinary surgical team is key to preserving the life of the mother and fetus.
url http://dx.doi.org/10.1155/2014/793735
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