Spontaneous Rupture of the Spleen: A Rare but Serious Case of Acute Abdominal Pain in Pregnancy

A case of spontaneous splenic rupture in an ectopic pregnancy

“…Th e fi rst case report was published in 1803 (Sakhel et al 2003). In a review of the published literature, only 20 cases of spontaneous rupture of a normal spleen during pregnancy or labour had been reported in the English language literature since 1958 (Wang et al 2011). Spontaneous rupture of a normal spleen without a history of trauma is an extremely rare clinical event, but it can occur at any stage of pregnancy (Al Inzi et al 2009;MacNab and Beattie 2004).…”

Gebeliğin üçüncü üç aylık döneminde kendiliğinde gelişen dalak rüptürü: vaka sunumu

“…However, rupture is noticed during surgical exploration in a great majority of the cases. If emergent surgical intervention is not carried out, maternal and fetal deaths are inevitable due to hemorrhagic shock and disseminated intravascular coagulation [10,11].…”

Spontaneous rupture of the spleen – a rare and potentially fatal surgical emergency in the second trimester: Report of a case

“…It has been reported to be more common in multiple pregnancies and in the third trimester. Wang et al [4] postulate a number of mechanisms for its cause. Minimal trauma, such as straining for a bowel movement or coughing and sneezing, acts as the inciting event through an increase in intra-abdominal pressure and its transmission to a number of abdominal organs including the spleen.…”

“…They also suggest that circulating hormones such as oestrogen and progesterone cause structural changes to the spleen in pregnancy that possibly increase the risk of rupture, even after minor trauma. [4] We detailed a case of spontaneous rupture of a normal spleen in a pregnant woman at 14 weeks' gestation. This led to haemorrhagic shock necessitating emergency surgery.…”