de Graaff J, Pijpers P M
Eur J Obstet Gynecol Reprod Biol. 1987 Jul;25(3):243-7. doi: 10.1016/0028-2243(87)90105-5.
A case of idiopathic spontaneous rupture of the spleen in the third trimester of pregnancy is presented. The cause remains an enigma; the diagnosis is difficult, but echography may prove to be helpful. The treatment requires early exploration to enhance fetal as well as maternal survival. In this case mother and child did not survive. The etiology and clinical picture are discussed. The literature relating to rupture of the spleen is reviewed, including one particular case of a rupture in the third trimester of pregnancy.
本文报告一例妊娠晚期特发性自发性脾破裂病例。病因仍是个谜；诊断困难，但超声检查可能会有所帮助。治疗需要早期探查以提高胎儿和母亲的生存率。在该病例中，母婴均未存活。文中讨论了病因及临床表现，并回顾了与脾破裂相关的文献，包括一例妊娠晚期脾破裂的特殊病例。
