Splenic artery aneurysm rupture in pregnancy

Jennifer Ha, Michael Phillips, Kingsley Faulkner

Research output: Contribution to journalArticle

55 Citations (Scopus)

Abstract

Splenic artery aneurysm (SAA) is the commonest visceral artery aneurysm. It is diagnosed more frequently in younger women, with up to 95% presenting during pregnancy. Rupture is associated with a disproportionately high maternal and fetal mortality.We performed a literature search on the patient and SAA characteristics, clinical presentations, management and outcome of this serious complication.There were 32 patients in total with a mean age of 27.9 years (range 20–38). The mean SAA size was 2.25 cm (range 0.5–4 cm) and from the available data half of the ruptured SAA were 2 cm or less. Only one case (3.1%) was discovered incidentally, whilst the rest (96.9%) were found following rupture. The majority ruptured spontaneously. Most (62%) of the patients underwent SAA ligation and splenectomy. The maternal death rate was 21.9% (n = 7), and fetal death rate was 15.6% (n = 5).Most cases are not diagnosed until surgery following rupture. Ruptured SAA should be considered in the differential diagnosis of a pregnant patient with severe and unexplained abdominal pain.
Original languageEnglish
Pages (from-to)133-137
JournalEuropean Journal of Obstetrics & Gynecology and Reproductive Biology
Volume146
Issue number2
DOIs
Publication statusPublished - 2009

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