title: Spontaneous splenic rupture in pregnancy.
abstract: Splenic rupture during pregnancy is a rare and can frequently be a misdiagnosed pathology. This rupture is associated with a high maternal and fetal mortality rate. A 26 years old Moroccan woman para II gravida II presented at the third stage of pregnancy with acute onset of severe abdominal pain. She developed immediately a hypovolemic shock. After both a physical and sonographical exam, it was revealed that it was due to a massive hemoperitoneum. Therefore, an emergent laparotomy and cesarean delivery with abdominal exploration were performed; also, an active bleeding was identified at the splenic hilum consistent with splenic rupture. Through this case report, we want to raise awareness of this surgical emergency that requires immediate recognition because any delay can lead to catastrophic consequences.
authors.affiliation: Department de Gynecology and Obstetrics 1, Maternité Souissi, Chu Ibn Sina, Rabat, Morocco.
authors.forename: Adil
authors.initials: A
authors.lastname: Elghanmi
authors.affiliation: Department de Gynecology and Obstetrics 1, Maternité Souissi, Chu Ibn Sina, Rabat, Morocco.
authors.forename: Jou
authors.initials: J
authors.lastname: Mohamed
authors.affiliation: Department de Gynecology and Obstetrics 1, Maternité Souissi, Chu Ibn Sina, Rabat, Morocco.
authors.forename: Samira
authors.initials: S
authors.lastname: Khabouz
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D002585:Cesarean Section / Q000379:methods; D005260:Female; D006465:Hemoperitoneum / Q000209:etiology*; D006801:Humans; D007813:Laparotomy / Q000379:methods; D009018:Morocco; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000473:pathology; D012422:Rupture, Spontaneous; D012769:Shock / Q000209:etiology; D013161:Splenic Rupture / Q000150:complications / Q000175:diagnosis* / Q000601:surgery
keywords: Splenic rupture; hypovolemic shock; pregnancy