Rupture of a Splenic Artery Aneurysm in the First Trimester of Pregnancy

Anévrysme de l’artère splénique et grossesse : revue de la littérature

“…Durant le premier trimestre, bien que la grossesse extra-utérine soit la cause la plus fréquente d'hémopéritoine, une rupture d'AAS doit être évoquée devant un hémopéritoine sans masse latéro-utérine bien individualisée [4][5][6]. Au cours de la grossesse et, plus particulièrement au troisième trimestre (78 %), celle-ci constitue un facteur de risque important de rupture d'AAS.…”

“…Le stress du travail ne contribue pas à la rupture car celleci peut survenir spontanément dans 18,8 % [2]. La rupture d'AAS est associée à un taux de mortalité maternelle et foetale de 75 % et 95 %, respectivement [5,9,10].…”

Ruptured Splenic Artery Aneurysm in Pregnancy: a Case Series

“…3,4,6,7 At least 3 cases of SAA have been reported to occur as early as the first trimester of pregnancy. 8,9 Because of the infrequency of SAA complicating pregnancy, there is a relative paucity of literature about this condition. To our knowledge, this is the first time SAA rupture in pregnant patients has been reported in the critical care transport literature.…”

“…10 Even then, the diagnosis of severe abdominal pain and hypotension in pregnancy may be attributed to a variety of potential working diagnoses such as ruptured ectopic pregnancy, placental abruption, uterine rupture, amniotic fluid embolism, pulmonary thromboembolism, cholecystitis, appendicitis, or perforation of a peptic ulcer. [7][8][9]12 The use of ultrasound to detect free fluid may help with early, and often lifesaving, diagnosis of hemoperitoneum in a stable pregnant patient presenting with abdominal pain. The mortality from a ruptured SAA has been reported to be as high as 36% to 40% in the general population and up to 70% for pregnant women specifically, with mortality for the fetus upward of 90%.…”

Visceral artery aneurysms

“…The last trimester and the early phase following birth are particularly hazardous. Between 24% and 45% of visceral artery aneurysms rupture during this period [4]; however, rupture in the first trimester of pregnancy has also been described in individual case reports [10, 11]. Therefore, the indications to treat all visceral artery aneurysms diagnosed during pregnancy, most of which are incidental findings on ultrasound, should be made generously [4].…”