Case Reports in Obstetrics and Gynecology (Jan 2012)

Spontaneous Rupture of Splenic Artery Aneurysm during the First Trimester of Pregnancy: Report of an Extremely Rare Case and Review of the Literature

  • Theodoros Pavlis,
  • Charalampos Seretis,
  • Stavros Gourgiotis,
  • Paraskevi Aravosita,
  • Christina Mystakelli,
  • Stavros Aloizos

DOI
https://doi.org/10.1155/2012/528051
Journal volume & issue
Vol. 2012

Abstract

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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.