Spleen rupture during labor

Autores

  • Camila Karsburg Bessow Hospital de Clínicas de Porto Alegre
  • Ana Lúcia Letti Müller Gynecology and Obstetrics Service, Hospital de Clínicas de Porto Alegre, Rio Grande do Sul
  • Rosi Pereira Balbinotto Gynecology and Obstetrics Service, Hospital de Clínicas de Porto Alegre, Rio Grande do Sul
  • Jaqueline Neves Lubianca Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul

Palavras-chave:

Spleen rupture, Advanced Trauma Life Support Care, Shock Hemorrhagic Pregnancy

Resumo

Background: A ruptured splenic artery aneurysm is rare but potentially fatal and has a greater chance of occurring during pregnancy.

Case: A 38-year-old pregnant woman was admitted to hospital in labor and presented with dyspnea and hypovolemic shock during the expulsion stage. After delivery, a bedside ultrasound was performed and showed a large amount of free fluid in the abdominal cavity. The patient was submitted to an exploratory laparotomy, which found a ruptured splenic hilum, and anatomopathological examination confirmed a ruptured splenic artery aneurysm. Both mother and baby survived without sequelae.

Conclusion: Ruptured aneurysm must be considered among the causes of hypovolemic shock in pregnancy, and early detection can reduce the morbidity and mortality of this event. 

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Publicado

2016-05-18

Como Citar

1.
Bessow CK, Müller ALL, Balbinotto RP, Lubianca JN. Spleen rupture during labor. Clin Biomed Res [Internet]. 18º de maio de 2016 [citado 8º de dezembro de 2022];36(1). Disponível em: https://www.seer.ufrgs.br/index.php/hcpa/article/view/61514

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