Spontaneous rupture of splenic artery aneurysm during a multiple pregnancy

• Author(s): Peixinho,Catarina ; Laranjo,Mafalda ; Rodrigues,Marta ; Soares,Fátima ; Mendes,Joaquim Silva
• Date: 2020
• Origin: SciELO Portugal
• Subject(s): Rupture; Splenic artery aneurysm; Pregnancy
• Document Type: Report
• Language: English

Description

We report a rare case of a 39-year-old woman, twin pregnancy with 32 weeks’ gestation, who underwent an emergency caesarean section and subsequent exploratory laparotomy with splenectomy due to hypovolemic shock secondary to splenic artery aneurysm rupture. The patient was admitted for observation due to suspicion of threatened preterm labour. The final diagnosis was not considered due to its rarity. The postoperative course was favourable for the mother, the newborns died. Spontaneous rupture of splenic artery aneurysm during pregnancy is a life-threatening event. This condition is commonly asymptomatic, and diagnosis is often incidental: during an ultrasound, intraoperatively or at autopsy.