First report of an unusual, rare complication of pregnancy: rupture of multiple lienal vein aneurysms.
Lienal vein aneurysms are a very unusual pathology. Usually they are extremely rare incidental findings, associated with many diseases as hepatic cirrhosis, portal hypertension and other conditions as pregnancy. We report here the case of death of a mother and her fetus at the third trimester of her third pregnancy due to haemoperytoneum for rupture of aneurysm. The autoptic examination revealed the presence of three fusiform and saccular aneurysms of the lineal vein. The histopathological features of aneurysms' wall are described. The aetiopathogenetic hypothesis of the lesion is discussed. To our knowledge this is the first case report describing the sudden death of pregnant woman and fetus from a rupture of maternal lineal vein aneurysm, complication of multiple aneurysms.
Morelli
L
L
Department of Pathology, Santa Maria del Carmine Hospital, Piazzale Santa Maria 6, 38068 Rovereto (TN), Italy. luca.morelli@apss.tn.it
Pusiol
T
T
Parolari
A M
AM
Piscioli
I
I
D000328:Adult; D000783:Aneurysm / Q000150:complications* / Q000473:pathology; D017542:Aneurysm, Ruptured / Q000150:complications* / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D005313:Fetal Death / Q000209:etiology; D006801:Humans; D009765:Obesity / Q000150:complications; D011247:Pregnancy; D011248:Pregnancy Complications; D011263:Pregnancy Trimester, Third; D013162:Splenic Vein / Q000473:pathology