Spontaneous splenic vein aneurysm rupture in the puerperium

Parpaglioni, R.; Metta, E.; Zagari, A.; Celleno, D.

doi:10.1016/j.ijoa.2008.01.019

Cited by 20 publications

(13 citation statements)

References 16 publications

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“…16 There are a few reports of splenic vein aneurysms in the puerperium; Parpaglioni et al reported a case of splenic vein aneurysm that had ruptured into the abdominal cavity producing retroperitoneal and intraperitoneal hemorrhage in the immediate postpartum period, which was managed surgically. 17 To the best of our knowledge, an intrasplenic varix has not been previously reported and is an extremely rare presentation of a well-known disease. This intrasplenic varix could be a direct complication of the increased portal venous pressure caused by chronic portal vein thrombosis, as in this case.…”

Section: Discussionmentioning

confidence: 95%

A Rare Intrasplenic Varix in a Patient with Chronic Liver Disease and Portal Hypertension

Kumarasamy

Sekhar

Vaithyanathan

et al. 2018

Journal of Gastrointestinal and Abdominal Radiology

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We present a rare case of spontaneous intrasplenic varix in a patient with chronic liver disease and portal hypertension. The venous collaterals and presence of portal hypertension was incidentally detected by abdominal contrast-enhanced computed tomographic imaging during evaluation of a suspected abdominal trauma following a road traffic accident. There have been a few reports of splenic vein aneurysms in the extrasplenic location. To the best of our knowledge, this is the first reported case of intrasplenic varix that developed in an adult with chronic liver disease and portal hypertension which is a rare manifestation of a well-known disease.

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Section: Discussionmentioning

confidence: 95%

A Rare Intrasplenic Varix in a Patient with Chronic Liver Disease and Portal Hypertension

Kumarasamy

Sekhar

Vaithyanathan

et al. 2018

Journal of Gastrointestinal and Abdominal Radiology

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“…In the scientific English literature, only a few cases of this condition have been reported [5][6][7][8][9][10][11][12][13], these cases have been summarized in Table-1. Even rarer the cause is the rupture of an aneurism of the splenic vein [14] or the rupture of the spleen itself [2]; a unique case of rupture of venae gastricae breves have been reported [15].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Splenic Vein Rupture with Massive Hemoperitoneum during the Third Trimester of Pregnancy

Marchi

Garraffo

et al. 2020

Asp Biomed Clin Case Rep

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We describe a case of spontaneous rupture of the splenic vein in a pregnant patient at 33 weeks gestation. For the first time in literature, we report follow-up investigations aimed at understanding the cause of the event. The woman was admitted to the emergency ward for hypovolemic shock. Maternal and fetal distress prompted an immediate cesarean section. The fetus was delivered stillborn, hemoperitoneum was present and two spontaneous splenic vein’s lacerations were found to be the source of the bleeding. The immediate splenectomy and aggressive correction of anemia and coagulopathy determined maternal survival. During the follow-up, no evidence of neither congenital nor acquired causative factors for a splenic vein rupture was found. The aim of reporting this case is to increase the awareness between clinicians of this condition since it is both rare and with an aspecific clinical picture. It presents itself in apparently low-risk patients and a good maternal-fetal outcome can only be achieved by early diagnosis and prompt treatment.

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“…There seems to be no relationship between maternal age and parity with aneurysm rupture. Ruptured aneurysms prognosis remains poor and associates with the loss of patients’ kidney ( 5 ). In most reported cases of ruptured renal aneurysm, nephrectomy was inevitable but mortality was dependent on early diagnosis and a skilled surgeon.…”

Section: Discussionmentioning

confidence: 99%

Renal artery aneurysm rupture during post-partum period: A case report

et al. 2017

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Renal artery aneurysm has an incidence of lower than one in 1000 of the general population. The risk of aneurysm rupture increases during pregnancy due to hormonal and hemodynamic changes. Therefore, these patients often refer to physicians with abdominal pain that is followed by shock. We report the case of a 41-year-old multiparous woman who was referred with symptoms of epigastric pain and hemorrhagic shock, a week after her vaginal delivery. She was diagnosed with renal artery aneurysm in ultrasonography. The patient underwent laparotomy and nephrectomy so that she was discharged from hospital with a good general health condition. Imaging measures in a timely manner, carried out by qualified individuals considering a patient’s history and clinical situation is very effective in diagnosis and treatment of post-partum abdominal pain.

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Spontaneous splenic vein aneurysm rupture in the puerperium

Cited by 20 publications

References 16 publications

A Rare Intrasplenic Varix in a Patient with Chronic Liver Disease and Portal Hypertension

A Rare Intrasplenic Varix in a Patient with Chronic Liver Disease and Portal Hypertension

Spontaneous Splenic Vein Rupture with Massive Hemoperitoneum during the Third Trimester of Pregnancy

Renal artery aneurysm rupture during post-partum period: A case report

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