International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 2, Issue 9 | Case Report | Open Access
Mayuri Jaiswal*
Specialist Obstetrician & Gynecologist, Department of Obstetrics & Gynaecologist, Al Qassimi women & Children Hospital, Sharjah, UAE
*Correspondence to: Mayuri Jaiswal
Fulltext PDFThis is case of a 38-year-old Iraqi lady, multigravida, pregnant at 38 weeks 5 days, who presented to Gynecology emergency with complaints of upper abdominal pain and vomiting following food intake from outside. After symptomatic treatment for the upper abdominal colic, patient was not relieved with CTG started showing early variable deceleration, she was admitted for observation. Despite stabilization in labor room, fetal heart recording deteriorated and emergency cesarean section was done. After entry into the abdomen, hemoperitoneum was found, unrelated to the uterus or adnexa. With the help of surgical team a ruptured splenic artery aneurysm was found as a cause of the major intra peritoneal bleed. Splenectomy was done with massive lifesaving blood transfusion. The patient had an uncomplicated postoperative course, and was discharged home with healthy baby after 10days of hospital stay. In view of the high mortality and morbidity associated with ruptured Splenic Artery Aneurysm (SAA) in pregnancy, early recognition and prompt intervention are crucial for maternal and fetal benefit.
Pregnancy; Abdominal pain; Vomiting , hemoperitoneum, Splenic Artery Aneurysm
Mayuri Jaiswal, Shalini Malhotra, Sanam Nachan, Razia Zafar, Shivani Vohra, Loula Mohammad. Caesarean Splenectomy for Spontaneous Rupture of the Splenic Artery Aneurysm in Pregnancy: A Case Report.Int Clinc Med Case Rep Jour. 2023;2(9):1-4.