title: A case of ruptured splenic artery aneurysm in pregnancy.
abstract: Background. Rupture of a splenic artery aneurysm is rare complication of pregnancy that is associated with a significant maternal and fetal mortality. Case. A multiparous female presented in the third trimester with hypotension, tachycardia, and altered mental status. A ruptured splenic artery aneurysm was discovered at the time of laparotomy and cesarean delivery. The patient made a full recovery following resection of the aneurysm. The neonate survived but suffered severe neurologic impairment. Conclusion. The diagnosis of ruptured splenic artery aneurysm should be considered in a pregnant woman presenting with signs of intra-abdominal hemorrhage. Early intervention by a multidisciplinary surgical team is key to preserving the life of the mother and fetus.
authors.affiliation: Department of Obstetrics and Gynecology, University of Wisconsin, School of Medicine and Public Health, Madison, WI 53715, USA.
authors.forename: Elizabeth K
authors.initials: EK
authors.lastname: Corey
authors.affiliation: Department of Obstetrics, Gynecology, and Women's Health, University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI 96813, USA.
authors.forename: Scott A
authors.initials: SA
authors.lastname: Harvey
authors.affiliation: Department of Obstetrics, Gynecology, and Women's Health, University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI 96813, USA.
authors.forename: Lynnae M
authors.initials: LM
authors.lastname: Sauvage
authors.affiliation: Department of Obstetrics and Gynecology, University of Wisconsin, School of Medicine and Public Health, Madison, WI 53715, USA.
authors.forename: Justin C
authors.initials: JC
authors.lastname: Bohrer