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.

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.

scholarly journals Splenic Artery Aneurysm Case Report

2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
Pouya Abhari ◽  
Sina Abhari ◽  
Anwar Jackson ◽  
Ahmed S. Z. Moustafa ◽  
Leo Mercer ◽  
...  
Keyword(s):  
Case Report ◽  
Mortality Rate ◽  
Splenic Artery ◽  
Rare Complication ◽  
Artery Aneurysm ◽  
Aneurysm Rupture ◽  
Splenic Artery Aneurysm ◽  
Fetal Mortality ◽  
Fetal Survival ◽  
Very High

Splenic artery aneurysm rupture is a rare complication of pregnancy with very high maternal and fetal mortality rate. In this paper, a case of splenic artery aneurysm rupture at 34 weeks of gestation with both maternal and fetal survival is presented.

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.

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 Gastrointestinal Hemorrhage Due to Splenic Artery Aneurysm Pancreatic Duct Fistula in Chronic Pancreatitis

HPB Surgery ◽  
1993 ◽  
Vol 7 (2) ◽  
pp. 149-155 ◽  
Author(s):  
Christian Seiler ◽  
Leslie H. Blumgart
Keyword(s):  
Chronic Pancreatitis ◽  
Pancreatic Duct ◽  
Gastrointestinal Hemorrhage ◽  
Splenic Artery ◽  
Epigastric Pain ◽  
Rare Complication ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Life Threatening ◽  
Threatening Situation

Gastrointestinal hemorrhage due to splenic artery aneurysm pancreatic duct fistula in chronic pancreatitis is rare. It is, however, important to diagnose this condition particularly in patients having chronic pancreatitis, since it may result in a life-threatening situation. The diagnosis is usually difficult to establish and it may take repeated admissions for intermittent gastrointestinal bleeding until the real source is recognized. Clinical attacks of epigastric pain followed by GI-bleeding 30–40 minutes later are characteristic. Occasionally these attacks are followed by transient jaundice. The present case report describes this rare complication and reviews the current literature.

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.

scholarly journals Management of Splenic Artery Aneurysms during Pregnancy

Acta Medica ◽  
2020 ◽  
Vol 51 (3) ◽  
pp. 44-49
Author(s):  
Nezih Akkapulu ◽  
Derya Karakoç
Keyword(s):  
Splenic Artery ◽  
Recent Literature ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Visceral Artery ◽  
Fetal Mortality ◽  
Visceral Artery Aneurysm ◽  
Diagnostic Features ◽  
In Pregnancy

Splenic artery aneurysms are considered rare; however, they are the most common visceral artery aneurysm in reality. The incidence of splenic artery aneurysm (SAA) increases in pregnancy and may result in significant maternal and fetal mortality if that would develop. This review summarizes etiologic, clinical, and diagnostic features and management of splenic artery aneurysms during pregnancy in the light of recent literature.

Rupture of a splenic artery aneurysm during pregnancy with maternal and foetal death

2008 ◽  
Vol 48 (4) ◽  
pp. 342-345 ◽  
Author(s):  
Matthew J. Lynch ◽  
Noel W.F. Woodford
Keyword(s):  
Splenic Artery ◽  
Clinical Presentation ◽  
Strong Association ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Visceral Artery ◽  
Foetal Death ◽  
Third Trimester ◽  
Foetal Mortality ◽  
Visceral Artery Aneurysms

Aneurysms of the splenic artery are rare although they are the most common of the so-called visceral artery aneurysms. First described by Beaussier in 1770, approximately 400 cases have now been reported in the literature. There is a strong association with pregnancy and since Corson's first description of the death of a mother in the third trimester from rupture of a splenic artery aneurysm, some 25% of reported cases have involved pregnant women. Arterial rupture is an obstetric emergency and associated with maternal and foetal mortality rates approaching 75% and 95% respectively. There are only 14 reported instances where both mother and baby survived. The clinical presentation is protean and in most cases splenic artery aneurysm is identified unexpectedly at angiography, laparotomy or post-mortem examination.

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