Ruptured splenic artery aneurysm in pregnancy presenting in a manner similar to pulmonary embolus.
We report a patient, 33 weeks pregnant with twins, who sustained a ruptured splenic artery aneurysm. This presented with left sided chest pain, breathlessness, low oxygen saturations and electrocardiogram (ECG) changes supportive of a diagnosis of massive pulmonary embolus. The diagnosis of splenic artery rupture was made at emergency Caesarean section performed for fetal distress.
Richardson
A J
AJ
Specialist Registrar, Department of Anaesthesia, Portsmouth Hospitals NHS Trust, Queen Alexandra Hospital, Southwick Hill Road, Cosham, Hants PO6 3LY, UK. ajrichardson@ukonline.co.uk
Bahlool
S
S
Knight
J
J
D000293:Adolescent; D017542:Aneurysm, Ruptured / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis*; D011272:Pregnancy, Multiple; D011655:Pulmonary Embolism / Q000175:diagnosis*; D013157:Splenic Artery; D014427:Twins