[Spontaneous rupture of a splenic artery aneurysm during the early puerperium].
A 35-year-old otherwise healthy woman was found unconscious on the floor of her room in the delivery ward 3 days after giving birth by a cesarean section. Following primary evaluation and resuscitation, a relaparotomy for assumed internal bleeding was performed, and active bleeding from a splenic artery aneurysm was discovered. The following case report reminds us yet again that the puerperium is a highly unique period in a woman's life during which submerged pathologies surface, and therefore, poses a great challenge to the caring physician. In this article, the authors report the sequence of events leading from the patient's admittance to the cesarean section to her subsequent relaparotomy. A brief review is presented on the literature related to splenic artery aneurysm rupture during pregnancy and the puerperium.
Inbar
Rotem
R
Obstetrics and Gynecology Ward, Sheba Medical Center.
Dulitzky
Mordechay
M
Barkai
Gad
G
D000328:Adult; D000783:Aneurysm / Q000601:surgery*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007813:Laparotomy; D011247:Pregnancy; D011644:Puerperal Disorders / Q000000981:diagnostic imaging*; D011859:Radiography; D012422:Rupture, Spontaneous / Q000601:surgery*; D013157:Splenic Artery / Q000601:surgery*; D016896:Treatment Outcome