Management of Splenic Artery Aneurysms during 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.

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Spontaneous rupture of splenic artery aneurysm in pregnancy: an autopsy-based case report

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20211172 ◽

2021 ◽

Vol 10 (4) ◽

pp. 1739

Author(s):

Aditya Anand ◽

Mohit Gupta ◽

Manish Kumath ◽

Sanjay Kumar

Keyword(s):

Case Report ◽

Early Diagnosis ◽

Splenic Artery ◽

Artery Aneurysm ◽

Mortality Rates ◽

Splenic Artery Aneurysm ◽

Fetal Mortality ◽

Intraperitoneal Hemorrhage ◽

Life Threatening ◽

In Pregnancy

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.

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Rupture of a splenic artery aneurysm in pregnancy

Critical Care Nurse ◽

10.4037/ccn1995.15.3.25 ◽

1995 ◽

Vol 15 (3) ◽

pp. 25-29 ◽

Cited By ~ 1

Author(s):

KR Simpson

Keyword(s):

Splenic Artery ◽

Hypovolemic Shock ◽

Artery Aneurysm ◽

Splenic Artery Aneurysm ◽

Compensatory Mechanisms ◽

Team Members ◽

Prompt Diagnosis ◽

Critical Care Team ◽

Central Circulation ◽

In Pregnancy

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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Ruptures of a Splenic Artery Aneurysm in Pregnancy

Proceedings of the Royal Society of Medicine ◽

10.1177/003591577306600814 ◽

1973 ◽

Vol 66 (8) ◽

pp. 762-763 ◽

Cited By ~ 1

Author(s):

M A H Baird

Keyword(s):

Splenic Artery ◽

Artery Aneurysm ◽

Splenic Artery Aneurysm ◽

In Pregnancy

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Splenic Artery Aneurysm in Pregnancy

Australian and New Zealand Journal of Obstetrics and Gynaecology ◽

10.1111/j.1479-828x.1994.tb01123.x ◽

1994 ◽

Vol 34 (5) ◽

pp. 598-602 ◽

Cited By ~ 2

Author(s):

M.H. Wiegand ◽

D. Smith ◽

M. Bowman ◽

L.W. Delbridge ◽

P. Lucas ◽

...

Keyword(s):

Splenic Artery ◽

Artery Aneurysm ◽

Splenic Artery Aneurysm ◽

In Pregnancy

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A Case of Ruptured Splenic Artery Aneurysm in Pregnancy

Case Reports in Obstetrics and Gynecology ◽

10.1155/2014/793735 ◽

2014 ◽

Vol 2014 ◽

pp. 1-3 ◽

Cited By ~ 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.

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