title: Splenic avulsion in a pregnant patient with vomiting.
abstract: Splenic avulsion in pregnancy is a rare condition that carries a high risk of death to both mother and fetus. The authors describe a 30-year-old woman with hyperemesis who had spontaneous avulsion of the spleen at 30 weeks' gestation. She underwent a splenectomy and cesarean section, resulting in a stillborn fetus. The authors theorize that violent vomiting resulted in splenic avulsion. Prompt surgical intervention by a general surgeon and obstetrician is required in such cases.
authors.affiliation: Department of Surgery, University of Toronto, Ont.
authors.forename: N
authors.initials: N
authors.lastname: Nguyen
authors.forename: M
authors.initials: M
authors.lastname: Deitel
authors.forename: E
authors.initials: E
authors.lastname: Lacy
mesh_terms: D000328:Adult; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D006939:Hyperemesis Gravidarum / Q000150:complications*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D013158:Splenic Diseases / Q000209:etiology*