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Spontaneous Splenic Vein Rupture with Massive Hemoperitoneum during the Third Trimester of Pregnancy
- Source :
- Asploro Journal of Biomedical and Clinical Case Reports. 4:1-5
- Publication Year :
- 2020
- Publisher :
- Asploro Open Access Publications, 2020.
-
Abstract
- 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.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Splenectomy
Case Report
Follow-up Investigations
hypovolemic shock
03 medical and health sciences
0302 clinical medicine
Pregnancy
Asploro
Fetal distress
Coagulopathy
Medicine
Hemoperitoneum
Fetus
030219 obstetrics & reproductive medicine
business.industry
Obstetrics
Asploro Journal of Biomedical and Clinical Case Reports
General Medicine
medicine.disease
Splenic Vein
Splenic vein
030220 oncology & carcinogenesis
Gestation
medicine.symptom
business
Subjects
Details
- ISSN :
- 25820370
- Volume :
- 4
- Database :
- OpenAIRE
- Journal :
- Asploro Journal of Biomedical and Clinical Case Reports
- Accession number :
- edsair.doi.dedup.....8ef6dbc613f9c0bcf495cbb0fda9a9be