Splenic artery aneurysm in obstetrical patients: A series of four cases with different clinical presentation and outcome

Objective To describe four consecutive cases of splenic artery aneurysm (SAA) with different clinical patterns of presentation among obstetrical patients. Methods A series of four cases of SAA diagnosed in pregnant or postpartum women at our University center between January 1998 and December 2020....

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2022-11, Vol.159 (2), p.474-479
Main Authors: Ornaghi, Sara, Crippa, Isabella, Di Nicola, Sara, Giardini, Valentina, La Milia, Laura, Locatelli, Luca, Corso, Rocco, Roncaglia, Nadia, Vergani, Patrizia
Format: Article
Language:English
Subjects:
aneurysm
postpartum
pregnancy
shock
splenic artery
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Summary:Objective To describe four consecutive cases of splenic artery aneurysm (SAA) with different clinical patterns of presentation among obstetrical patients. Methods A series of four cases of SAA diagnosed in pregnant or postpartum women at our University center between January 1998 and December 2020. Clinical and radiologic data were retrospectively obtained by reviewing paper and electronic medical records after acquiring patient’s consent. Results One case was completely asymptomatic and incidentally identified at the beginning of pregnancy, thus allowing for multidisciplinary treatment. The other three cases were unknown: two manifested with maternal collapse due to aneurysm rupture in the third trimester of gestation, whereas one presented with acute abdominal pain during the postpartum period and was successfully managed before rupture occurred. Conclusion Although extremely rare, SAA rupture in obstetrical patients can be associated with dramatic consequences. Early suspicion and prompt intervention are essential to avoid fatal outcomes, so promotion of knowledge of all the potential clinical patterns of presentation of SAA rupture among obstetrical patients is mandatory. SynopsisThe contents of this page will be used as part of issue TOC only. It will not be published as part of main article. High levels of awareness of splenic artery aneurysm and its potential clinical manifestations in obstetrical patients is pivotal to avoid delayed diagnosis and catastrophic outcomes.
ISSN:0020-7292
1879-3479
DOI:10.1002/ijgo.14133