Spontaneous Splenic Vein Rupture in Pregnancy: Case Report

Jb, Wheelock

doi:10.1093/milmed/147.1.64

Cited by 9 publications

(3 citation statements)

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“…More rarely this occurrence was related to the spontaneous rupture of the splenic vein, as described for our patient. 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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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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“…Spontaneous rupture of a normal spleen without a history of trauma is an extremely rare clinical event. A total of 20 cases have been reported (Table 1) (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22). The first case of splenic rupture in pregnancy was reported by Saxtroph in 1803 (12).…”

Section: Discussionmentioning

confidence: 99%

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

Wang

et al. 2011

The Journal of Emergency Medicine

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“…The aetiology of splenic aneurysms is speculative and may include congenital causes such as local failure of connective and elastic tissue. 11,12 Aneurysms may also be acquired due to trauma, inflammation or portal hypertension. 13,14 Splenic aneurysms are more common in multiparous women; it is therefore possible that pregnancy may influence their development because of changes in haemodynamics and increased levels of progesterone.…”

Section: Discussionmentioning

confidence: 99%