Spleen rupture during labor

Background: A ruptured splenic artery aneurysm is rare but potentially fatal and has a greater chance of occurring during pregnancy. Case: A 38-year-old pregnant woman was admitted to hospital in labor and presented with dyspnea and hypovolemic shock during the expulsion stage. After delivery, a bed...

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Bibliographic Details
Published in:Clinical and Biomedical Research 2016-05, Vol.36 (1)
Main Authors: Camila Karsburg Bessow, Ana Lúcia Letti Müller, Rosi Pereira Balbinotto, Jaqueline Neves Lubianca
Format: Article
Language:English
Subjects:
Spleen rupture, Advanced Trauma Life Support Care, Shock Hemorrhagic Pregnancy
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Summary:Background: A ruptured splenic artery aneurysm is rare but potentially fatal and has a greater chance of occurring during pregnancy. Case: A 38-year-old pregnant woman was admitted to hospital in labor and presented with dyspnea and hypovolemic shock during the expulsion stage. After delivery, a bedside ultrasound was performed and showed a large amount of free fluid in the abdominal cavity. The patient was submitted to an exploratory laparotomy, which found a ruptured splenic hilum, and anatomopathological examination confirmed a ruptured splenic artery aneurysm. Both mother and baby survived without sequelae. Conclusion: Ruptured aneurysm must be considered among the causes of hypovolemic shock in pregnancy, and early detection can reduce the morbidity and mortality of this event.
ISSN:0101-5575
2357-9730