Rupture of Splenic Artery Aneurysm With Portal Hypertension During Pregnancy: A Case Report

Chaichian, Shahla; Mehdizadeh, Abolfazl; Akbarian, A.; Groohi, Bahram; Khanahmadi, Nazila; Alaghehbandan, Reza

doi:10.1016/s1701-2163(16)32121-1

Cited by 17 publications

(11 citation statements)

References 19 publications

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“…In case of acute, sudden rupture of SAA, accompanied by a sudden deterioration of the general condition due to a sudden hypovolemic shock in the course of massive bleeding to the peritoneal cavity or the gastrointestinal tract, the situation is quite different. In our opinion, as well as in the opinion of other authors, in such situations the only effective procedure, in view of the drastically deteriorating condition of the patient, leading to their death within minutes, is immediate laparotomy [7,10,11,13,14,23]. Surgery performed in such conditions has more complications than in elective surgery, among which the most frequent is iatrogenic fistula of the pancreas.…”

Section: Discussionmentioning

confidence: 76%

Massive bleeeding from upper gastrointestinal tract as a symptom of rupture of splenic artery aneurysm to stomach

et al. 2012

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SummaryBackgroundSplenic artery aneurysm is the most common aneurysm of visceral vessels. Their rupture usually leads to massive bleeding, being a direct life threat. Splenic artery aneurysms usually rupture into the free peritoneal cavity, and much less frequently into the lumen of the gastrointestinal tract.Case ReportWe describe the case of a 38-year-old male patient, who, as a result of chronic pancreatitis, developed a false aneurysm of the splenic artery, which initially caused necrosis of the large intestine and bleeding into its lumen, and subsequently necrosis of the posterior stomach wall with the aneurysm rupture to the stomach lumen with a dramatic course.ConclusionsThe case described confirms that splenic artery aneurysm can be a cause of bleeding to both upper and lower parts of the gastrointestinal tract, and the aneurysm rupture is usually of a dramatic and life-threatening course.

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Section: Discussionmentioning

confidence: 76%

Massive bleeeding from upper gastrointestinal tract as a symptom of rupture of splenic artery aneurysm to stomach

et al. 2012

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“…The literature suggests that pregnant women tend to be younger and have fewer adhesions from previous surgery than the general population, 2,3,7 therefore, rupture occurs almost exclusively into the free periautopsies of cases of sudden, unexpected death during pregnancy does not only serve to detect the reason for this unusual and catastrophic event, but serves also to get more information about morphologic changes in artery aneurysms and finally serves to support the clinician who must answer questions of the bereaved in cases where the cause of death is unclear. 8,9 Although an arterial aneurysm during pregnancy is rare, it can be catastrophic if it ruptures. It mostly occurs in the third trimester, during labor, or in the early postpartum period.…”

Section: Discussionmentioning

confidence: 99%

“…It must be considered when we encounter hemorrhagic shock in a pregnant woman without obstetric hemorrhage. 8,9 Only a few cases were successfully managed before the rupture of splenic artery aneurysm in literature, but we should learn the cases similar to rescue both mother and fetus. [11][12][13] In summary, we have described 2 cases of a pregnant woman and a postpartum woman with hemorrhagic shock and death due to the rupture of splenic artery aneurysm.…”

Section: Discussionmentioning

confidence: 99%

Rupture of Splenic Artery Aneurysm in Pregnancy

Zheng²,

Zhang³

et al. 2010

American Journal of Forensic Medicine &Amp; Pathology

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“…Risk is greatest in pregnant women with cirrhosis and PHTN in the third trimester due to increased splenic blood flow from a hyper-dynamic circulation. 26 Symptoms of rupture include abdominal pain and syncope. A curvilinear calcification in the left upper quadrant on imaging may represent a SAA.…”

Section: Splenic Artery Aneurysm Rupturementioning

confidence: 99%

Management of pregnancy in women with cirrhosis

et al. 2021

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Although pregnancy is rare in women with cirrhosis, it is increasingly prevalent in an era of modern assisted conception techniques and improved awareness, monitoring and management of underlying liver disease. After overcoming the difficulties of subfertility and becoming pregnant, women undergo a ‘high-risk’ pregnancy which can be complicated by variceal haemorrhage (≤50%) and hepatic decompensation (≤25%). Management of these complications are similar to non-pregnant individuals. However, there are a few caveats to consider. These pregnancies are associated with adverse maternal and foetal outcomes, such as mortality (0–8%) and prematurity (19–67%) in the newborn, and mortality (0–14%), pregnancy-induced hypertension (5–22%) and post-partum haemorrhage (5–45%) in the mother. Pre-pregnancy counselling, use of predictive scores and appropriate variceal screening during pregnancy can stratify patients and improve outcomes. This review focusses on the complications that can occur during pregnancy in women with cirrhosis.

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Rupture of Splenic Artery Aneurysm With Portal Hypertension During Pregnancy: A Case Report

Cited by 17 publications

References 19 publications

Massive bleeeding from upper gastrointestinal tract as a symptom of rupture of splenic artery aneurysm to stomach

Massive bleeeding from upper gastrointestinal tract as a symptom of rupture of splenic artery aneurysm to stomach

Rupture of Splenic Artery Aneurysm in Pregnancy

Management of pregnancy in women with cirrhosis

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