Spontaneous rupture of capillary splenic hemangioma in mid trimester pregnancy: a rare entity

Abstract

Splenic hemangioma, a vascular malformation represents the most common benign primary neoplasm of the spleen with fewer than 100 cases been reported in literature. Rupture of hemangioma is a life threatening complication occurring mostly in third trimester or puerperium with maternal mortality of 70% and fetal mortality of 90-95%. We herein report the first case of rupture of capillary hemangioma of spleen occurring in mid trimester pregnancy. Our patient was a 24 years old gravida 1, para 1 with spontaneous rupture of splenic hemangioma at 22 weeks of gestation. Emergency laparotomy with splenectomy was done. Histopathology confirmed the diagnosis of capillary hemangiom