title: Rupture of splenic artery aneurysm in primipara five days after cesarean section: case report and review of the literature.
abstract: Splenic artery aneurysm (SAA) is a rare and usually asymptomatic vascular anomaly which carries the risk of rupture and fatal hemorrhage. It is more common in women and is usually associated with pregnancy. We present the case of rupture of SAA, 5 days after giving birth by cesarean section, which was diagnosed with Multi-Slice Computed Tomografy (MSCT) angiography and was successfully operated in the second emergency laparotomy, with the final good outcome for the mother. This case indicates that in case of sudden bleeding in the abdomen, with the development of hypovolemic shock, especially in the peripartum period, should be suspected rupture of SAA. The paper presents a critical review of this case, with a review of the literature.
authors.affiliation: Department of Obstetrics and Gynecology, University Clinical Hospital Mostar, Bijeli brijeg B.B., 88000, Mostar, Bosnia and Herzegovina. tatjana.barisic@tel.net.ba.
authors.forename: Tatjana
authors.initials: T
authors.lastname: Barišić
authors.affiliation: Department of Chirurgy, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina.
authors.forename: Nikica
authors.initials: N
authors.lastname: Šutalo
authors.affiliation: Department of Chirurgy, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina.
authors.forename: Ludvig
authors.initials: L
authors.lastname: Letica
authors.affiliation: Department of Radiology, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina.
authors.forename: Andrea Vladimira
authors.initials: AV
authors.lastname: Kordić
mesh_terms: D000328:Adult; D017542:Aneurysm, Ruptured / Q000150:complications* / Q000601:surgery*; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D013157:Splenic Artery / Q000601:surgery*; D016896:Treatment Outcome
keywords: Hematopneritoneum; MSCT angiography; Sectio cesarea; Splenic artery aneurism