Shahabi S, Jani J, Masters L, Cobin L, Greindl J
Service d'Obstétrique-Gynécologie, Hôpital de Braine-l'Alleud-Waterloo, Belgium.
Acta Chir Belg. 2000 Sep-Oct;100(5):231-3.
The spontaneous rupture of a splenic artery aneurysm during pregnancy is a rare but catastrophic event. Two cases are reported, both involving fetal death and one maternal death as well. A review of the literature covering this condition shows that mortality amongst pregnant women remains high at 75% with 95% fetal loss, which compares with a 25% mortality rate amongst non-pregnant women. Clinical presentation is often non-specific, with good haemodynamic compensation, followed by a rapid deterioration. The best investigation appears to be a diagnostic laparotomy. The discussion stresses the importance of early diagnosis faced with this serious condition, as well as the potential benefits of a prompt lower mid-line incision in terms of statistical survival for both mother and fetus.
孕期脾动脉瘤自发性破裂是一种罕见但灾难性的事件。本文报告了两例病例，均导致胎儿死亡，其中一例还造成了母亲死亡。对有关该病症的文献综述表明，孕妇的死亡率仍然很高，达75%，胎儿丢失率为95%，相比之下，非孕妇的死亡率为25%。临床表现通常不具有特异性，血流动力学代偿良好，随后迅速恶化。最佳的检查似乎是诊断性剖腹手术。讨论强调了面对这种严重病症时早期诊断的重要性，以及就母亲和胎儿的统计学存活率而言，迅速进行下腹部中线切口的潜在益处。
