妊娠晚期脾动脉瘤的管理
Management of a Splenic Artery Aneurysm in the Third Trimester of Pregnancy.
作者信息
Zarudskaya Oxana, Subash Madanika, Tamirisa Anita, Docheva Nikolina, Reddy Balaji, Zoorob Dani
机构信息
University of Toledo, Department of Obstetrics and Gynecology, 2142 N. Cove Blvd., Toledo OH 43606, USA.
University of Toledo, Department of Surgery, 3000 Arlington Ave, Toledo OH 43614, USA.
出版信息
Case Rep Obstet Gynecol. 2020 Sep 19;2020:8892605. doi: 10.1155/2020/8892605. eCollection 2020.
BACKGROUND
Splenic artery aneurysm (SAA) is a rare but potentially fatal complication associated with high maternal and fetal mortality when occurring during pregnancy.
CASE
A 29-year-old G4P3003 at 34 4/7 weeks of gestation was admitted with left upper quadrant pain and newly diagnosed SAA in the hilum. She was scheduled for embolization of the SAA but the night before went into labor. A multidisciplinary team discussion was held, and the patient underwent successful primary low transverse c-section via Pfannenstiel skin incision followed by laparoscopic splenectomy under general anesthesia. She delivered a male newborn with birth weight of 2855 and Apgar score of 8/5. . Early diagnosis and management of SAA are key for improved maternal and fetal outcomes. Our case demonstrates that through a multidisciplinary approach and anticipation of the possible clinical scenarios, good outcomes can be achieved.
背景
脾动脉瘤（SAA）是一种罕见但可能致命的并发症，在孕期发生时会导致较高的母婴死亡率。
病例
一名29岁、孕4产3（0-0-0-3）、妊娠34⁴/₇周的孕妇因左上腹疼痛入院，被新诊断为脾门处的脾动脉瘤。她原计划接受脾动脉瘤栓塞治疗，但在手术前一晚临产。经过多学科团队讨论，患者通过耻骨联合上皮肤切口成功进行了初次低位横切口剖宫产，随后在全身麻醉下进行了腹腔镜脾切除术。她产下一名男婴，出生体重2855克，阿氏评分8/5。早期诊断和处理脾动脉瘤是改善母婴结局的关键。我们的病例表明，通过多学科方法并对可能的临床情况有所预判，可以取得良好的结果。
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