Spontaneous Rupture of the Spleen: A Rare but Serious Case of Acute Abdominal Pain in Pregnancy

2011 ◽  
Vol 41 (5) ◽  
pp. 503-506 ◽  
Author(s):  
Chenhong Wang ◽  
Xinzhi Tu ◽  
Shengli Li ◽  
Guoyang Luo ◽  
Errol R. Norwitz
2020 ◽  
Vol 5 (3) ◽  

Introduction: Spontaneous rupture of the spleen in postpartum or in pregnancy is a rare condition with severe complications and a high risk of mortality that must be suspected on clinical examination and confirmed immediately by ultrasound and CT scan. Case Report: We report the case of a 28 years woman who was admitted for abdominal pain and hemorrhagic shock on her second postpartum day. The splenic rupture was found in the US and CT scans. Given the patient improvement and the favorable control of lesions after drainage, surgical intervention was not required. Conclusion: Spontaneous splenic rupture is an important diagnosis to call to mind in women presenting in postpartum an acute abdominal pain with signs of hemorrhage. Imaging has a fundamental role in the immediate diagnosis of the attack to speed up its management and avoid its complications.


POCUS Journal ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 16-21
Author(s):  
Stephen Lammers ◽  
Christopher Hong ◽  
Jared Tepper ◽  
Christy Moore ◽  
Cameron Baston ◽  
...  

Background: Complications of fibroids in pregnancy are well known, including postpartum hemorrhage, labor dystocia, and cesarean delivery. Outside of pregnancy and labor, the rare occurrence of spontaneous fibroid rupture has been documented. Case: The current case report involves a woman who presented with acute abdominal pain in the third trimester of pregnancy and was found to have spontaneous rupture of a fibroid before the onset of labor. Her initial presentation, diagnosis through use of point-of-care ultrasound, acute surgical management, and postoperative course are described. Conclusion: When assessing acute abdominal pain in a pregnant patient, fibroid rupture should be considered despite the absence of prior uterine surgery. Bedside point-of-care ultrasonography is a useful tool for assessment of abdominal pain in the third trimester of pregnancy.


2014 ◽  
Vol 6 (3) ◽  
pp. 171-172 ◽  
Author(s):  
Shruthi Sreedhar ◽  
KS Rajeswari ◽  
M Sivasundari

ABSTRACT Spontaneous intraperitoneal hemorrhage is a rare medical condition associated with high mortalities. It was first described in pregnancy by Barber in 1909. Approximately in an average of 30% of reported cases, the source of bleeding was not identified. Most patients with spontaneous hemoperitoneum frequently presented with acute abdominal pain and might present a wide variety of other clinical presentations. How to cite this article Sreedhar S, Rajeswari KS, Sivasundari M. Surprise in Pandora Box: Spontaneous Intraabdominal Hematoma in Pregnancy. J South Asian Feder Obst Gynae 2014;6(3):171-172.


2014 ◽  
Vol 32 (5) ◽  
pp. 491.e3-491.e4 ◽  
Author(s):  
Seungwoon Choi ◽  
Seokyong Ryu ◽  
Taekyung Kang ◽  
Hyejin Kim ◽  
Sungchan Oh ◽  
...  

2016 ◽  
Vol 3 (1) ◽  
pp. 23-28
Author(s):  
G. Radu ◽  
Nicoleta Prună ◽  
S. Prună ◽  
Mirela Moarcăș ◽  
Adriana Andrei ◽  
...  

Before the use of ultrasound, many ovarian tumors remained undiagnosed until cesarean section oruntil they became symptomatic. Now, many symptomatic or non-symptomatic adnexal tumors arediagnosed by ultrasound during pregnancy follow-up.In most cases, the adnexal tumors discoveredduring pregnancy are benign with a maximum diameter of 5 cm. Approximately 70% of the cysticadnexal tumors identified in the first trimester resorb spontaneously until the beginning of thesecond trimester (usually those are functional cysts). Persistent adnexal tumors larger than 5 cmare generally mature teratomas (dermoid).In this case, at the emergency room a 34 year-old-women came with almost 20 weeks pregnancy, accusing acute abdominal pain, nausea andvomiting. One week before, the patient went for a routine ultrasound for pregnancy and the doctordiscovered a giant tumor larger than 15 cm (due to the size it could not be measured) with fluidcontent. Two days before the symptoms, the patient went for an abdominal MRI where a voluminouspelvic-abdominal cyst with almost 30 cm in diameter was discovered. Differential diagnosis:ovarian torsion or ruptured cyst complicating pregnancy. What is the correct diagnosis and what isto be done since there is a 20 weeks pregnancy?


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