Le Tinier B, Jungo-Nançoz C, McCarey C, Jastrow N
Clin Exp Obstet Gynecol. 2015;42(3):381-3.
Splenic artery aneurysm (SAA) is the third most common intra-abdominal aneurysm. This condition, which occurs predominantly in young women, is generally asymptomatic and frequently discovered during pregnancy upon rupture. Reported maternal and fetal mortality are respectively 75% and 72.5-95%. A 40-year-old woman gravida 4 para 3 was referred to the obstetrical emergencies at term for loss of consciousness, nausea, vomiting, and hypotension. At admission, the patient had developed upper abdominal pain. Fetal demise and hemoperitoneum were diagnosed. An abdominal computed tomography (CT) scan revealed SAA rupture. An emergency hemostatic splenectomy was performed followed by a cesarean section with a favorable subsequent outcome. SAA rupture should be considered in the differential diagnosis of acute abdominal pain during pregnancy. Prompt multidisciplinary management is essential for patient's survival.
脾动脉瘤（SAA）是腹腔内第三常见的动脉瘤。这种疾病主要发生在年轻女性中，通常无症状，常在孕期破裂时被发现。据报道，孕产妇死亡率和胎儿死亡率分别为75%和72.5 - 95%。一名40岁、孕4产3的妇女在足月时因意识丧失、恶心、呕吐和低血压被转诊至产科急诊。入院时，患者出现上腹部疼痛。诊断为胎儿死亡和腹腔积血。腹部计算机断层扫描（CT）显示脾动脉瘤破裂。紧急进行了止血性脾切除术，随后进行剖宫产，术后结果良好。在孕期急性腹痛的鉴别诊断中应考虑脾动脉瘤破裂。迅速的多学科管理对患者的生存至关重要。
