A Case of Ruptured Splenic Artery Aneurysm in Pregnancy

Abstract EN

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.