scholarly journals Splenic Artery Aneurysm (SAA) Rupture in Pregnancy: A Case Report of a Rare but Life-Threatening Obstetrical Complication

Author(s):  
Rami A Ballout ◽  
Rayan Ghanem ◽  
Anwar Nassar ◽  
Ali H Hallal ◽  
Labib M Ghulmiyyah
2020 ◽  
Vol 3 ◽  
Author(s):  
Raleene Gatmaitan ◽  
Keagan Werner-Gibbings ◽  
Morad Sallam ◽  
Rachel Bell ◽  
Panos Gkoutzios

Splenic artery aneurysms (SAA) are a rare and life-threatening pathology. Ruptured SAA has a mortality rate of up to 25%, with increased rates of rupture in pregnancy, pseudoaneurysm, liver transplantation, portal hypertension, symptomatic SAA and diameter >2 cm. Management of SAA in pregnant women is poorly described in the literature, making treatment of these patients difficult. Furthermore, careful consideration of complications for both the mother and the foetus need to be taken into account. This case report demonstrates that conservative management with monthly surveillance MRI can be used as viable treatment option of an asymptomatic 17 mm splenic artery aneurysm in a pregnant woman.


Author(s):  
Aditya Anand ◽  
Mohit Gupta ◽  
Manish Kumath ◽  
Sanjay Kumar

Splenic artery aneurysm (SAA) is an infrequent form of vascular disease that has a significant potential for rupture, resulting in life-threatening intraperitoneal hemorrhage commonly during pregnancy. The incidence of splenic artery aneurysms has been estimated between 0.01% and 0.98%. We describe a case of sudden death of a 36 years old full term, primigravida female. During autopsy we found ruptured splenic artery aneurysm about 2.0 cm in diameter near hilum with intraperitoneal hemorrhage. It is important to be alert about the possibility of SAA in pregnant women for its early diagnosis, as the chance of it getting ruptured during pregnancy is high with high maternal and fetal mortality rates.


2017 ◽  
Vol 1 (1) ◽  
pp. 1-5
Author(s):  
Sarmukh Singh ◽  
Hairol Othman ◽  
P Razman ◽  
Chew Loon Guan ◽  
Zaidi Zakaria ◽  
...  

1995 ◽  
Vol 15 (3) ◽  
pp. 25-29 ◽  
Author(s):  
KR Simpson

Although ruptured splenic artery aneurysm in pregnancy is frequently fatal for mother and infant, prompt diagnosis and surgical treatment increase their chances for survival. Normal physiologic and hemodynamic changes of pregnancy may mask early symptoms of hypovolemic shock in pregnant women. The fetus is especially at risk, because maternal compensatory mechanisms activated during hemorrhage shunt blood from uteroplacental circulation to maternal central circulation. Collaboration between perinatal and critical care team members is essential.


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