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Case Reports in Obstetrics and Gynecology
Volume 2014, Article ID 793735, 3 pages
http://dx.doi.org/10.1155/2014/793735
Case Report

A Case of Ruptured Splenic Artery Aneurysm in Pregnancy

1Department of Obstetrics and Gynecology, University of Wisconsin, School of Medicine and Public Health, Madison, WI 53715, USA
2Department of Obstetrics, Gynecology, and Women’s Health, University of Hawai‘i, John A. Burns School of Medicine, Honolulu, HI 96813, USA

Received 21 September 2014; Accepted 26 November 2014; Published 9 December 2014

Academic Editor: Eliezer Shalev

Copyright © 2014 Elizabeth K. Corey et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Rupture of a splenic artery aneurysm is rare complication of pregnancy that is associated with a significant maternal and fetal mortality. Case. A multiparous female presented in the third trimester with hypotension, tachycardia, and altered mental status. A ruptured splenic artery aneurysm was discovered at the time of laparotomy and cesarean delivery. The patient made a full recovery following resection of the aneurysm. The neonate survived but suffered severe neurologic impairment. Conclusion. The diagnosis of ruptured splenic artery aneurysm should be considered in a pregnant woman presenting with signs of intra-abdominal hemorrhage. Early intervention by a multidisciplinary surgical team is key to preserving the life of the mother and fetus.