Management of splenic artery aneurysm rupture during trial of scar with epidural analgesia.
We report a case of ruptured splenic artery aneurysm during labor in which the clinical signs were masked by epidural analgesia. A high index of clinical suspicion must be maintained in cases of atypical epidural breakthrough pain, and attending clinicians must be prepared for the unexpected when faced with a maternal collapse.
Fender
G R
GR
University Department of Obstetrics and Gynaecology and the National Health Service Department of Obstetrics and Gynaecology, Rosie Hospital, Cambridge, United Kingdom.
Haslett
E
E
Leary
T
T
Bland
E
E
Hackett
G
G
D000328:Adult; D015360:Analgesia, Epidural; D017542:Aneurysm, Ruptured / Q000150:complications* / Q000473:pathology / Q000628:therapy*; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications; D011247:Pregnancy; D012422:Rupture, Spontaneous; D013156:Splenectomy; D013157:Splenic Artery; D014219:Trial of Labor