title: Ruptured splenic artery aneurysm in pregnancy presenting in a manner similar to pulmonary embolus.
abstract: 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.
authors.affiliation: Specialist Registrar, Department of Anaesthesia, Portsmouth Hospitals NHS Trust, Queen Alexandra Hospital, Southwick Hill Road, Cosham, Hants PO6 3LY, UK. ajrichardson@ukonline.co.uk
authors.forename: A J
authors.initials: AJ
authors.lastname: Richardson
authors.forename: S
authors.initials: S
authors.lastname: Bahlool
authors.forename: J
authors.initials: J
authors.lastname: Knight
mesh_terms: 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