• Am. J. Obstet. Gynecol. · Apr 1999

    Case Reports

    Management of splenic artery aneurysm rupture during trial of scar with epidural analgesia.

    • G R Fender, E Haslett, T Leary, E Bland, and G Hackett.
    • University Department of Obstetrics and Gynaecology and the National Health Service Department of Obstetrics and Gynaecology, Rosie Hospital, Cambridge, United Kingdom.
    • Am. J. Obstet. Gynecol. 1999 Apr 1;180(4):1038-9.

    AbstractWe report a case of ruptured splenic artery aneurysm during labor in which the clinical signs were masked by epidural analgesia. A high index of clinical suspicion must be maintained in cases of atypical epidural breakthrough pain, and attending clinicians must be prepared for the unexpected when faced with a maternal collapse.

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