Postpartum Splenic Rupture

Sakhel, Khaled; Aswad, Naji; Usta, Ihab M.; Nassar, Anwar H.

doi:10.1097/00006250-200311001-00031

Cited by 5 publications

(10 citation statements)

References 8 publications

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“…Maternal mortality due to splenic rupture can be as high as 45% and there can be 47 to 82% risk of IUD. 8 Three cases of splenic rupture associated with pregnancy have been described by De Graaff and Pijpers where both mother and fetus did not survive even after surgical intervention. 2 Bhagrath et al reported case of splenic injury occurring in the early puerperium, where splenectomy was performed with a successful outcome.…”

Section: Discussionmentioning

confidence: 99%

Rupture of Spleen During Pregnancy with Intrauterine Fetal Death Mimicking Rupture Uterus: A Case Report

Reddy¹,

Jaiswal²

2022

TJIMA

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Background: Splenic rupture in pregnancy or postpartum is a rare and frequently misdiagnosed event. The splenic rupture during pregnancy is difficult to diagnose because it shares signs and symptoms with other conditions such as uterine rupture and abruptio placentae. Case report: We report a case of a 26 years G3P2L2 who had splenic rupture following accidental fall from the stairs. She presented with acute abdominal pain with hemoperitoneum and intrauterine fetal death. Ultrasonography confirmed moderate amount of free fluid and fetal demise without any evidence of retroplacental clots. She was taken up for emergency laparotomy with a provisional diagnosis of rupture uterus. On laparotomy, massive hemoperitoneum due to splenic injury was noted. Hence, Splenectomy was done and she recovered without further complication. Splenic rupture should be considered in cases of trauma to the abdomen during pregnancy because of the risk of severe haemorrhage, shock, and possibility of pregnancy loss. The aim of the article is to highlight the fact that rupture of the spleen is an unusual but serious cause of acute abdominal pain in pregnancy and is associated with both maternal and fetal complications. Conclusion: Sudden abdominal pain, pallor, and hypotension following any trauma may be a sign of splenic rupture. Resuscita-tion of patients with immediate laparotomy should be done in these patients to avoid fetal and maternal morbidity and mortality. Hence, it should be one of the differential diagnoses in addition to abruptio placentae and uterine rupture in suspected cases of haemorrhagic shock.

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Section: Discussionmentioning

confidence: 99%

Rupture of Spleen During Pregnancy with Intrauterine Fetal Death Mimicking Rupture Uterus: A Case Report

Reddy¹,

Jaiswal²

2022

TJIMA

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“…The most frequent clinical symptom is abdominal pain that radiates to the left shoulder. If rupture is not identified or suspected, the patient's condition rapidly worsens and hemorrhagic shock may occur [8]. If the patient is hemodynamically stable, pelvic/abdominal ultrasound and computed tomography are useful diagnostic tools to be used [9].…”

Section: Discussionmentioning

confidence: 99%

Gebeliğin üçüncü üç aylık döneminde kendiliğinde gelişen dalak rüptürü: vaka sunumu

İnal¹,

İnal²

2016

Turk J Clin Lab

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Spontaneous splenic rupture in pregnancy is a rare but life-threatening complication requiring urgent surgical intervention.If it remains unrecognized, it can be fatal for both mother and baby. Herein, we present a case of spontaneous rupture of a normal spleen at 28.4 weeks gestation. Early diagnosis and aggressive surgical intervention can provide maternal and fetal survival. In case of a suspected splenic rupture, urgent exploratory laparotomy via a midline vertical incision to allow visualization of and access to bleeding location should be performed to save mother's and baby's lives. Turkish Journal of Clinics and Laboratory 54To cite this article: İnal HA, Öztürk İnal Z. Nontraumatic spontaneous splenic rupture in the third trimester of pregnancy: a case report. Turk J Clin Lab 2016; 7(2): 54-56

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“…In the absence of other fi ndings, as mentioned by Li et al (2013), spontaneous rupture appears as the most probable aetiology in our case. An episode of excessive vomiting might be a possible cause (Sakhel et al 2003).…”

Section: Journal Of Obstetrics Andmentioning

confidence: 99%