Hunsaker Donna M, Turner Staci, Hunsaker John C
Department of Pathology, University of Louisville School of Medicine, Kentucky, USA.
Am J Forensic Med Pathol. 2002 Dec;23(4):338-41. doi: 10.1097/00000433-200212000-00007.
Rupture of a splenic artery aneurysm is a rare and usually catastrophic event, most commonly associated with pregnancy. In spite of increasingly common reliance on abdominal angiography, magnetic resonance imaging, and computerized tomography during the past quarter century, clinicians uncommonly recognize any of the various splanchnic arterial aneurysms absent premonitory signs or symptoms. Accordingly, rupture of a visceral aneurysm, including splenic artery aneurysm, typically presents as sudden, unexpected obtundation or death. As a consequence, the initial recognition and diagnosis of splenic artery aneurysm rupture take place only at autopsy. This report presents two such cases of sudden death resulting from splenic artery aneurysm in a pregnant woman and a postpartum woman, respectively.
脾动脉瘤破裂是一种罕见且通常具有灾难性的事件，最常见于妊娠期间。尽管在过去四分之一世纪中，腹部血管造影、磁共振成像和计算机断层扫描的应用越来越普遍，但临床医生很少能在没有先兆症状的情况下识别出各种内脏动脉瘤。因此，包括脾动脉瘤在内的内脏动脉瘤破裂通常表现为突然、意外的意识障碍或死亡。结果，脾动脉瘤破裂的最初识别和诊断往往只能在尸检时进行。本报告分别介绍了一名孕妇和一名产后妇女因脾动脉瘤导致猝死的两例病例。
