title: [Splenic artery aneurysm rupture in late pregnancy: a case report and review of the literature].
abstract: Haemorrhages during pregnancy may have a non-obstetrical origin, the pregnancy itself favoring some specific aetiologies because of pregnancy-related physiological modifications. These non-obstetrical haemorrhages are rare but are associated with a high maternal and foetal mortality. The prognosis depends on an early diagnosis and a multidisciplinary approach. We report the case of a patient who had a caesarean section for suspicion of acute foetal distress during which was found a large intraperitoneal bleeding due to rupture of an unknown splenic artery aneurysm. We discuss the principal causes of non-obstetrical intra-abdominal bleeding, including subcapsular liver haematoma, rupture of uterine vessels and rupture of splenic artery aneurysm, with a specific focus on this last aetiology.
authors.affiliation: Département d'anesthésie-réanimation, hôpital Saint-Vincent-de-Paul, 82 avenue Denfert-Rochereau, Paris, France. rahmounefc@yahoo.fr
authors.forename: F C
authors.initials: FC
authors.lastname: Rahmoune
authors.forename: G
authors.initials: G
authors.lastname: Aya
authors.forename: M
authors.initials: M
authors.lastname: Biard
authors.forename: G
authors.initials: G
authors.lastname: Belkhayat
authors.forename: J
authors.initials: J
authors.lastname: Hamza
authors.forename: J
authors.initials: J
authors.lastname: Leperc
authors.forename: M
authors.initials: M
authors.lastname: Ouchtati
mesh_terms: D000328:Adult; D017542:Aneurysm, Ruptured / Q000601:surgery*; D002585:Cesarean Section; D005260:Female; D005316:Fetal Distress / Q000175:diagnosis / Q000601:surgery; D006340:Heart Rate, Fetal / Q000502:physiology; D006439:Hemodynamics; D006801:Humans; D007231:Infant, Newborn; D007813:Laparotomy; D008107:Liver Diseases / Q000175:diagnosis; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000601:surgery*; D011256:Pregnancy Outcome; D013157:Splenic Artery / Q000601:surgery*; D014590:Uterine Contraction