Splenic artery aneurysm rupture in pregnancy

Ha, Jennifer F.; Phillips, Michael; Faulkner, Kingsley

doi:10.1016/j.ejogrb.2009.05.034

Cited by 95 publications

(105 citation statements)

References 28 publications

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“…Introduction L'anévrysme de l'artère splénique (AAS) est rare avec une prévalence estimée entre 0,01 % et 10 %, est souvent asymptomatique (95 %) et survient plus fréquemment chez la femme en âge de procréer (58 %) et au cours de la grossesse [1,2]. La rupture de l'AAS survient plus fréquemment pendant la grossesse (entre 20 % et 50 %), le plus souvent à la fin du troisième trimestre.…”

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

et al. 2015

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

et al. 2015

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“…Conclusions Our study demonstrates that laparoscopy permits multiple technical options, does not increase the splenectomy rate, and reduces postoperative complications. It confirms the supposed clinical benefits of laparoscopy when ablative procedures are required but laparoscopic anastomoses show poor long-term results.Keywords Clinical paper Á Trials Á Splenic artery aneurysms Recent literature reports on the feasibility, safety, and effectiveness of laparoscopic management of splenic artery aneurysms (SAA) as well as its appreciation by patientsoften young females-who harbour the disease [1][2][3][4][5][6][7][8][9][10][11][12][13]. Thus, laparoscopy may represent an interesting alternative to open surgery and provided that the same range of technical solutions offered by open surgery can be achieved with similar results [1,[14][15][16][17][18] and the general advantages of laparoscopy are confirmed in this specific application, the laparoscopic option may represent a challenging alternative not only to laparotomic surgery but also to endovascular procedures.…”

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confidence: 99%

Prospective randomized comparison of open versus laparoscopic management of splenic artery aneurysms: a 10-year study

et al. 2012

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Background The literature does not support the choice between open and laparoscopic management of splenic artery aneurysms (SAA). Methods We designed a prospective, randomized comparison between open and laparoscopic surgery for SAA. Primary end points were types of surgical procedures performed and clinical outcomes. Analysis was developed on an intention-to-treat basis. Results Fourteen patients were allocated to laparotomy (group A) and 15 to laparoscopy (group B). Groups displayed similar patient-and aneurysm-related characteristics. The conversion rate to open surgery was 13.3 %. The type of surgical procedure performed on the splenic artery was similar in the two groups: aneurysmectomy with splenic artery ligature or direct anastomosis was performed in 51 % and 21 % of patients in group A and in 60 % and 20 % in group B, respectively. The splenectomy rate was similar (14 % vs. 20 %). Postoperative splenic infarction was observed in one case in each group. Laparoscopy was associated with shorter procedures (p = 0.0003) and lower morbidity (25 % vs. 64 %, p = 0.045). Major morbidity requiring interventional procedures and blood transfusion was observed only in group A. Laparoscopy was associated with quicker resumption of oral diet (p \ 0.001), earlier drain removal (p = 0.046), and shorter hospital stay (p \ 0.01). During a mean follow-up of 50 months, two patients in group A required hospital readmission. In group B, two patients developed a late thrombosis of arterial anastomoses. Conclusions Our study demonstrates that laparoscopy permits multiple technical options, does not increase the splenectomy rate, and reduces postoperative complications. It confirms the supposed clinical benefits of laparoscopy when ablative procedures are required but laparoscopic anastomoses show poor long-term results.Keywords Clinical paper Á Trials Á Splenic artery aneurysms Recent literature reports on the feasibility, safety, and effectiveness of laparoscopic management of splenic artery aneurysms (SAA) as well as its appreciation by patientsoften young females-who harbour the disease [1][2][3][4][5][6][7][8][9][10][11][12][13]. Thus, laparoscopy may represent an interesting alternative to open surgery and provided that the same range of technical solutions offered by open surgery can be achieved with similar results [1,[14][15][16][17][18] and the general advantages of laparoscopy are confirmed in this specific application, the laparoscopic option may represent a challenging alternative not only to laparotomic surgery but also to endovascular procedures. Endovascular management, albeit minimally invasive, requires accurate patient selection and presents some Registration Number: NCT01387828.

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“…Several reasons are involved in spontaneous splenic rupture in pregnant such as uterus growth in the last months of pregnancy, contraction of abdominal muscles, enlarged spleen, and small aneurysms ruptured spleen [8][9][10]. Regarding the present case of a pregnant female with spontaneous spleen rupture without any specific reason, it will be prescribed to consider the spontaneous spleen rupture in pregnant who claims about the severe abdominal pain and bleeding.…”

Section: Open Accessmentioning

confidence: 99%