Splenic artery aneurysm rupture in late pregnancy: a case report and review of the literature

Haemorrhages during pregnancy may have a non-obstetrical origin, the pregnancy itself favoring some specific aetiologies because of pregnancy-related physiological modifications. These non-obstetrical haemorrhages are rare but are associated with a high maternal and foetal mortality. The prognosis d...

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Bibliographic Details
Published in:Annales françaises d'anesthésie et de réanimation 2011-02, Vol.30 (2), p.156-158
Main Authors: Rahmoune, F C, Aya, G, Biard, M, Belkhayat, G, Hamza, J, Leperc, J, Ouchtati, M
Format: Article
Language:fre
Subjects:
Adult
Aneurysm, Ruptured - surgery
Cesarean Section
Female
Fetal Distress - diagnosis
Fetal Distress - surgery
Heart Rate, Fetal - physiology
Hemodynamics
Humans
Infant, Newborn
Laparotomy
Liver Diseases - diagnosis
Pregnancy
Pregnancy Complications, Cardiovascular - surgery
Pregnancy Outcome
Splenic Artery - surgery
Uterine Contraction
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Summary:Haemorrhages during pregnancy may have a non-obstetrical origin, the pregnancy itself favoring some specific aetiologies because of pregnancy-related physiological modifications. These non-obstetrical haemorrhages are rare but are associated with a high maternal and foetal mortality. The prognosis depends on an early diagnosis and a multidisciplinary approach. We report the case of a patient who had a caesarean section for suspicion of acute foetal distress during which was found a large intraperitoneal bleeding due to rupture of an unknown splenic artery aneurysm. We discuss the principal causes of non-obstetrical intra-abdominal bleeding, including subcapsular liver haematoma, rupture of uterine vessels and rupture of splenic artery aneurysm, with a specific focus on this last aetiology.
ISSN:1769-6623
DOI:10.1016/j.annfar.2010.11.024