title: Spontaneous Rupture of Splenic Artery Aneurysm during the First Trimester of Pregnancy: Report of an Extremely Rare Case and Review of the Literature.
abstract: Splenic artery aneurysm (SAA) occurs predominantly in women and the majority of them are asymptomatic until rupture. In cases of spontaneous rupture of an SAA, maternal and fetal mortality rates remain extremely high. Furthermore, the spontaneous ruptures of SAAs predominantly appear during the third trimester of pregnancy. We present the third known case of spontaneous SAA rupture during the first trimester of pregnancy, which manifested as sudden hypovolemic collapse and was successfully confronted with combined aggressive resuscitation and emergency surgical operation.
authors.affiliation: Intensive Care Unit, "Mitera" Obstetric & Gynecological Hospital Athens, 6 Erithrou Stavrou Street, Amarousion, 151 23 Athens, Greece.
authors.forename: Theodoros
authors.initials: T
authors.lastname: Pavlis
authors.forename: Charalampos
authors.initials: C
authors.lastname: Seretis
authors.forename: Stavros
authors.initials: S
authors.lastname: Gourgiotis
authors.forename: Paraskevi
authors.initials: P
authors.lastname: Aravosita
authors.forename: Christina
authors.initials: C
authors.lastname: Mystakelli
authors.forename: Stavros
authors.initials: S
authors.lastname: Aloizos