• Ann Fr Anesth Reanim · Feb 2011

    Case Reports

    [Splenic artery aneurysm rupture in late pregnancy: a case report and review of the literature].

    • F C Rahmoune, G Aya, M Biard, G Belkhayat, J Hamza, J Leperc, and M Ouchtati.
    • Département d'anesthésie-réanimation, hôpital Saint-Vincent-de-Paul, 82 avenue Denfert-Rochereau, Paris, France. rahmounefc@yahoo.fr
    • Ann Fr Anesth Reanim. 2011 Feb 1; 30 (2): 156-8.

    AbstractHaemorrhages during pregnancy may have a non-obstetrical origin, the pregnancy itself favoring some specific aetiologies because of pregnancy-related physiological modifications. These non-obstetrical haemorrhages are rare but are associated with a high maternal and foetal mortality. The prognosis depends on an early diagnosis and a multidisciplinary approach. We report the case of a patient who had a caesarean section for suspicion of acute foetal distress during which was found a large intraperitoneal bleeding due to rupture of an unknown splenic artery aneurysm. We discuss the principal causes of non-obstetrical intra-abdominal bleeding, including subcapsular liver haematoma, rupture of uterine vessels and rupture of splenic artery aneurysm, with a specific focus on this last aetiology.Copyright © 2010 Elsevier Masson SAS. All rights reserved.

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