Splenic artery aneurysm rupture: a rare but fatal cause for peripartum collapse

Journal of Intensive Care Medicine
Jasjit Khurana, Irene M Spinello

Abstract

Splenic artery aneurysm (SAA) is the most common (60%) of all visceral artery aneurysms. The majority of these cases are asymptomatic, but the presentation of their rupture can vary from abdominal/chest pain to cardiovascular collapse (Sadat U, Dar O, Walsh S, Varty K. Splenic artery aneurysms in pregnancy-a systematic review. Int J Surg. 2008;6(3):261-265.). Although rare, the mortality associated with the rupture is as high as 25% (De Vries JE, Schattenkerk ME, Malt RA. Complications of splenic artery aneurysm other than intraperitoneal rupture. Surgery. 1982;91(2):200-204; Caillouette JC, Merchant EB: Ruptured splenic artery aneurysm in pregnancy. Twelfth reported case with maternal and fetal survival. Am J Obstet Gynecol 1993;168(6 Pt 1):1810-1811) and increases to 75% among pregnant women with a concomitant fetal mortality of 95% (O'Grady JP, Day EJ, Toole AL, et al. Splenic artery aneurysm rupture in pregnancy. A review and case report. Obstet Gynecol. 1977; 50(5):627-630). Because of such high maternal and fetal mortality prompt management of SAAs is of utmost importance. We are presenting a case of a 35-year-old woman with a missed ruptured SAA who after an emergent cesarean section went into profound shock and was unab...Continue Reading

References

Feb 1, 1986·World Journal of Surgery·J A SaloE O Kivilaakso
Aug 1, 1966·American Journal of Obstetrics and Gynecology·J R Macfarlane, B Thorbjarnarson
Sep 1, 1982·Obstetrical & Gynecological Survey·J M BarrettF H Boehm
Jun 1, 1995·American Journal of Surgery·S G Mattar, A B Lumsden
Jul 16, 2003·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Daniel O Selo-Ojeme, Christopher C Welch
Oct 12, 2004·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Olaf BettendorfWerner Böcker
Sep 28, 2005·Obstetrical & Gynecological Survey·A J G JansenJ J Duvekot
May 30, 2006·Journal of Clinical Anesthesia·Elif Bengi SenerAdem Dervisoglu
Jun 9, 2006·World Journal of Emergency Surgery : WJES·Michael M Krausz
Mar 23, 2007·AJR. American Journal of Roentgenology·Gautam A AgrawalElliot K Fishman
Sep 18, 2007·International Journal of Surgery·Umar SadatKevin Varty
Dec 3, 2008·International Journal of Obstetric Anesthesia·A SinhaA S Thakor
Dec 5, 2008·Medicine, Science, and the Law·Matthew J Lynch, Noel W F Woodford

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Citations

Dec 19, 2013·Trauma Monthly·Jalalludin KhoshnevisZeinab Mahdi
Sep 3, 2014·Air Medical Journal·Mary Lou GareyHoward A Werman
May 20, 2015·Cirugia y cirujanos·Pablo Colsa-GutiérrezAlfredo Ingelmo-Setién
Jan 17, 2019·Vascular Medicine·Heather L GornikPierre-Francois Plouin
Oct 18, 2019·Surgery Today·Hideaki ObaraYuko Kitagawa
Jul 9, 2020·Hypertension·Marco PappaccogliUNKNOWN European/International Fibromuscular Dysplasia Registry and Initiative (FEIRI) and the Working Group “Hypertension and the K
Jan 15, 2019·Journal of Hypertension·Heather L GornikUNKNOWN Working Group ‘Hypertension and the Kidney’ of the European Society of Hypertension (ESH) and the Society for Vascular Medic
Nov 24, 2020·Annals of Vascular Surgery·Carlos VeteranoRui Almeida

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Methods Mentioned

BETA
cesarean section
cesarian section

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