Spleen rupture during labor

Camila Karsburg Bessow, Ana Lúcia Letti Müller, Rosi Pereira Balbinotto, Jaqueline Neves Lubianca

Abstract


Background: A ruptured splenic artery aneurysm is rare but potentially fatal and has a greater chance of occurring during pregnancy.

Case: A 38-year-old pregnant woman was admitted to hospital in labor and presented with dyspnea and hypovolemic shock during the expulsion stage. After delivery, a bedside ultrasound was performed and showed a large amount of free fluid in the abdominal cavity. The patient was submitted to an exploratory laparotomy, which found a ruptured splenic hilum, and anatomopathological examination confirmed a ruptured splenic artery aneurysm. Both mother and baby survived without sequelae.

Conclusion: Ruptured aneurysm must be considered among the causes of hypovolemic shock in pregnancy, and early detection can reduce the morbidity and mortality of this event. 


Keywords


Spleen rupture, Advanced Trauma Life Support Care, Shock Hemorrhagic Pregnancy

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Copyright (c) 2016



ISSN: 2357-9730 

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The Clinical & Biomedical Research is licenced under Creative Commons Atribuição 4.0 Internacional.