Department of Obstetrics and Gynecology, Sf. Apostol Andrei Emergency County Hospital, Constanţa, Romania;
Rom J Morphol Embryol. 2020 Apr-Jun;61(2):577-581. doi: 10.47162/RJME.61.2.30.
We present a case of a pregnant woman in the third trimester who came to the Department of Emergency, Sf. Apostol Andrei Emergency County Hospital, Constanţa, Romania, in September 2016, for abdominal pain and ascites. After admission, the patient was periodically tested (biochemically and by ultrasound). We also payed attention to the fetal well-being. During the hospitalization, the patient was also found positive for syphilis. Biochemical values have progressively altered, the fetus started to present acute fetal distress and the patient gave birth by Caesarean section after two days of hospitalization. The intraoperatory surprise was hemoperitoneum caused by posttraumatic splenic rupture. The relevance of this case consists in its rarity (we were not able to find in the literature a case with the association of pregnancy, syphilis, trauma, and splenic rupture), in the difficult histopathological clear assertion and in the clinical awareness of such a condition.
我们报告了一个 2016 年 9 月罗马尼亚康斯坦察 Sf. Apostol Andrei 县急症医院妇产科就诊的妊娠晚期腹痛伴腹水的孕妇病例。入院后，该患者定期接受（生化和超声）检查。我们还关注了胎儿的健康状况。住院期间，该患者还被查出梅毒阳性。生化指标逐渐异常，胎儿开始出现急性胎儿窘迫，患者在住院两天后行剖宫产分娩。术中发现是外伤性脾破裂导致的腹腔积血。该病例的重要意义在于其罕见性（我们未在文献中找到与妊娠、梅毒、外伤和脾破裂相关的病例）、困难的组织病理学明确诊断以及对此种情况的临床认识。
