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01.11.2015 | case report | Ausgabe 21-22/2015

Wiener klinische Wochenschrift 21-22/2015

Rupture of splenic artery aneurysm in primipara five days after cesarean section: case report and review of the literature

Zeitschrift:
Wiener klinische Wochenschrift > Ausgabe 21-22/2015
Autoren:
MD Tatjana Barišić, PhD Nikica Šutalo, MD Ludvig Letica, MD Andrea Vladimira Kordić

Summary

Splenic artery aneurysm (SAA) is a rare and usually asymptomatic vascular anomaly which carries the risk of rupture and fatal hemorrhage. It is more common in women and is usually associated with pregnancy. We present the case of rupture of SAA, 5 days after giving birth by cesarean section, which was diagnosed with Multi-Slice Computed Tomografy (MSCT) angiography and was successfully operated in the second emergency laparotomy, with the final good outcome for the mother. This case indicates that in case of sudden bleeding in the abdomen, with the development of hypovolemic shock, especially in the peripartum period, should be suspected rupture of SAA. The paper presents a critical review of this case, with a review of the literature.

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