Tlili Ahmed, Trigui Aymen, Dkhil Oussema, Feki Wiem, Rejab Haithem, Ameur Hazem Ben, Boujelbene Salah, Mnif Zeineb
Faculté de Médecine de Sfax, Service de Chirurgie Viscérale et Générale, Hôpital Habib Bourguiba, Sfax, Tunisie.
Faculté de Médecine de Sfax, Service d'Imagerie Médicale, Hôpital Hedi Chaker, Sfax, Tunisie.
Pan Afr Med J. 2019 Oct 1;34:63. doi: 10.11604/pamj.2019.34.63.18598. eCollection 2019.
Bleeding during pregnancy may not be due to obstetric causes. Pregnancy is a predisposing factor for some disorders due to physiological changes. These obstetric bleedings are rare but are responsible for high materno-fetal mortality. Prognosis depends on the speed of diagnosis as well as on multidisciplinary management. Splenic artery aneurysm (SAA) rupture during pregnancy is rare with a dreadful prognosis. Common clinical signs including abdominal pain associated with hypotension and anemia are very misleading for the obstetrician who usually suspects retroplacental hematoma or uterine rupture. We report the case of a pregnant patient requiring emergency laparotomy due to the detection of splenic artery aneurysm rupture on imaging test.
孕期出血可能并非由产科原因引起。由于生理变化,怀孕是一些疾病的诱发因素。这些产科出血虽罕见,但却是导致母婴高死亡率的原因。预后取决于诊断速度以及多学科管理。孕期脾动脉瘤(SAA)破裂罕见且预后不佳。常见临床症状包括腹痛伴低血压和贫血,这对通常怀疑胎盘后血肿或子宫破裂的产科医生极具误导性。我们报告一例因影像学检查发现脾动脉瘤破裂而需紧急剖腹手术的孕妇病例。