scholarly journals Spontaneous Rupture of Splenic Artery Aneurysm during the First Trimester of Pregnancy: Report of an Extremely Rare Case and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Theodoros Pavlis ◽  
Charalampos Seretis ◽  
Stavros Gourgiotis ◽  
Paraskevi Aravosita ◽  
Christina Mystakelli ◽  
...  
Keyword(s):  
Spontaneous Rupture ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
First Trimester ◽  
Splenic Artery Aneurysm ◽  
Fetal Mortality ◽  
Surgical Operation ◽  
Third Trimester ◽  
The Third ◽  
First Trimester Of Pregnancy

Splenic artery aneurysm (SAA) occurs predominantly in women and the majority of them are asymptomatic until rupture. In cases of spontaneous rupture of an SAA, maternal and fetal mortality rates remain extremely high. Furthermore, the spontaneous ruptures of SAAs predominantly appear during the third trimester of pregnancy. We present the third known case of spontaneous SAA rupture during the first trimester of pregnancy, which manifested as sudden hypovolemic collapse and was successfully confronted with combined aggressive resuscitation and emergency surgical operation.

scholarly journals A Case of Ruptured Splenic Artery Aneurysm in Pregnancy

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Elizabeth K. Corey ◽  
Scott A. Harvey ◽  
Lynnae M. Sauvage ◽  
Justin C. Bohrer
Keyword(s):  
Splenic Artery ◽  
Rare Complication ◽  
Artery Aneurysm ◽  
Altered Mental Status ◽  
Splenic Artery Aneurysm ◽  
Fetal Mortality ◽  
Surgical Team ◽  
Third Trimester ◽  
Neurologic Impairment ◽  
Multiparous Female

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.

Laparoscopic aneurysm resection and splenectomy for splenic artery aneurysm in the third trimester of pregnancy

2013 ◽  
Vol 27 (8) ◽  
pp. 2988-2991 ◽  
Author(s):  
Julia Samamé ◽  
Amit Kaul ◽  
Ulises Garza ◽  
Angela Echeverria ◽  
Carlos Galvani
Keyword(s):  
Splenic Artery ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Third Trimester ◽  
The Third ◽  
Aneurysm Resection

scholarly journals Management of a Splenic Artery Aneurysm in the Third Trimester of Pregnancy

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Oxana Zarudskaya ◽  
Madanika Subash ◽  
Anita Tamirisa ◽  
Nikolina Docheva ◽  
Balaji Reddy ◽  
...  
Keyword(s):  
Splenic Artery ◽  
Multidisciplinary Approach ◽  
Artery Aneurysm ◽  
Skin Incision ◽  
Splenic Artery Aneurysm ◽  
Fetal Mortality ◽  
Third Trimester ◽  
Fatal Complication ◽  
Quadrant Pain ◽  
Clinical Scenarios

Background. Splenic artery aneurysm (SAA) is a rare but potentially fatal complication associated with high maternal and fetal mortality when occurring during pregnancy. Case. A 29-year-old G4P3003 at 34 4/7 weeks of gestation was admitted with left upper quadrant pain and newly diagnosed SAA in the hilum. She was scheduled for embolization of the SAA but the night before went into labor. A multidisciplinary team discussion was held, and the patient underwent successful primary low transverse c-section via Pfannenstiel skin incision followed by laparoscopic splenectomy under general anesthesia. She delivered a male newborn with birth weight of 2855 and Apgar score of 8/5. Summary and Conclusion. Early diagnosis and management of SAA are key for improved maternal and fetal outcomes. Our case demonstrates that through a multidisciplinary approach and anticipation of the possible clinical scenarios, good outcomes can be achieved.

Spontaneous rupture of a splenic artery aneurysm during the third trimester of pregnancy

2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Nuri Peker ◽  
Nazif Harun Vicdanlı ◽  
Ahmet Demir ◽  
Mehmet Buğra Bozan ◽  
Savaş Gündoğan
Keyword(s):  
Maternal Death ◽  
Spontaneous Rupture ◽  
Splenic Artery ◽  
Strong Association ◽  
Hypovolemic Shock ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Third Trimester ◽  
Life Threatening ◽  
Threatening Situation

Abstract Spontaneous rupture of a splenic artery aneurysm (SAA) during pregnancy is a rare but life-threatening situation typically presenting with sudden and unexpected fetal and maternal death. The etiology is unclear; however, there is a strong association between pregnancy and the rupture of a SAA. Maternal and fetal prognosis is poor and mortality rates remain at 70% and 90%, respectively. Here, we present a case report of the spontaneous rupture of a SAA at the 35th week of gestation, which presented as suddenly developed hypovolemic shock ending in fetal and maternal death.

Rupture of a Splenic Artery Aneurysm in the First Trimester of Pregnancy

2011 ◽  
Vol 41 (1) ◽  
pp. e13-e16 ◽  
Author(s):  
Marion Groussolles ◽  
Marina Merveille ◽  
Xavier Alacoque ◽  
Christophe Vayssiere ◽  
Jean Michel Reme ◽  
...  
Keyword(s):  
Splenic Artery ◽  
Artery Aneurysm ◽  
First Trimester ◽  
Splenic Artery Aneurysm ◽  
First Trimester Of Pregnancy

Correlations Between the Values of Maternal Glycemia from the Last Trimester of Pregnancy and Fetal Birth Weight

2013 ◽  
Vol 20 (3) ◽  
pp. 259-265
Author(s):  
Monica Vereş ◽  
Aurel Babeş ◽  
Szidonia Lacziko
Keyword(s):  
First Trimester ◽  
Mean Value ◽  
Fetal Macrosomia ◽  
Entire Group ◽  
Third Trimester ◽  
The Third ◽  
Group I ◽  
Fetal Birth Weight ◽  
First Trimester Of Pregnancy ◽  
The Mean

Abstract Background and aims: Gestational diabetes represents a form of diabetes diagnosed during pregnancy that is not clearly overt diabetes. In the last trimester of gestation the growth of fetoplacental unit takes place, thus maternal hyperglycemia will determine an increased transplacental passage, hyperinsulinemia and fetal macrosomia. The aim of our study was that o analyzing the effect of maternal glycemia from the last trimester of pregnancy over fetal weight. Material and method: We run an observational study on a group of 46 pregnant women taken into evidence from the first trimester of pregnancy, separated in two groups according to blood glucose determined in the third trimester (before birth): group I normoglycemic and group II with hyperglycemia (>92mg/dl). Results: The mean value of third trimester glycemia for the entire group was of 87.13±22.03. The mean value of the glycemia determined in the third trimester of pregnancy was higher in the second group (109.17 mg/dl) in comparison to the first group (74.,21 mg/dl). The ROC curve for third trimester glycemia as fetal macrosomia appreciation test has an AUC of 0.517. Conclusions: Glycemia determined in the last trimester of pregnancy cannot be used alone as the predictive factor for fetal macrosomia.

scholarly journals Spontaneous rupture of a splenic artery aneurysm with splenic epithelioid hemangioendothelioma: a case report

2019 ◽  
Vol 47 (2) ◽  
pp. 1059-1063
Author(s):  
Ganghong Chen ◽  
Jing Yang ◽  
Guangyu Qian ◽  
Kexiang Jiang ◽  
Yanting Lv ◽  
...  
Keyword(s):  
Case Report ◽  
Spontaneous Rupture ◽  
Splenic Artery ◽  
Hypovolemic Shock ◽  
Artery Aneurysm ◽  
Rare Condition ◽  
Sudden Onset ◽  
Epithelioid Hemangioendothelioma ◽  
Splenic Artery Aneurysm ◽  
Quadrant Pain

Spontaneous rupture of a splenic artery aneurysm with splenic epithelioid hemangioendothelioma is a rare condition. Splenic artery aneurysm can be complicated by rupture resulting in hypovolemic shock, which can be fatal if not treat properly. We report a case of a 50-year-old man who presented with sudden onset of left upper quadrant pain and shock. This patient underwent splenectomy with distal pancreatectomy. His pathological diagnosis showed splenic epithelioid hemangioendothelioma.

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