title: [Spontaneous splenic rupture in the second quarter of pregnancy].
abstract: We report the case of a 33 year-old woman at the second quarter of pregnancy, with known brain aneurysm admitted in intensive care unit for sudden coma. The coma was not related to a rupture of the brain aneurysm but to a serious haemorrhagic shock caused by a spontaneous splenic rupture. This case report illustrates the difficulty of this unrecognized diagnosis and reminds us to suspect a spontaneous splenic rupture in front of any pregnant woman with atypic abdominal pain and haemorrhagic shock.
authors.affiliation: Réanimation polyvalente, centre hospitalier Louise Michel, rue du Pont Amar: quartier du Canal, 91014 Evry-Courcouronnes, France.
authors.forename: E
authors.initials: E
authors.lastname: Brocas
authors.forename: A
authors.initials: A
authors.lastname: Tenaillon
mesh_terms: D000328:Adult; D003128:Coma; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications; D011247:Pregnancy; D011248:Pregnancy Complications / Q000473:pathology* / Q000601:surgery; D011262:Pregnancy Trimester, Second; D012771:Shock, Hemorrhagic / Q000209:etiology; D013161:Splenic Rupture / Q000150:complications / Q000473:pathology* / Q000601:surgery