Chaar Abdallah, Abdallah Wael, Kharrat Richard, Nassar Malek
Department of Gynecology & Obstetrics, Hôtel-Dieu de France University Hospital, Saint Joseph University, Beirut, Lebanon.
Department of Gynecology & Obstetrics, Bellevue Medical Center Hospital, Saint Joseph University, Beirut, Lebanon.
Future Sci OA. 2021 Jun 22;7(9):FSO741. doi: 10.2144/fsoa-2021-0027. eCollection 2021 Oct.
A 33-year-old pregnant woman presented at 36 weeks gestation to the emergency with acute abdominal pain that started after vaginal intercourse. No bruising was present on the abdominal examination. An emergent cesarean delivery was performed for resistant hypotension and collapse. A fetus with cardiac arrest was delivered, and active spleen bleeding was identified at the splenocolic and gastrosplenic ligament insertion. The patient had a conservative treatment of the spleen and an uncomplicated postoperative course. The infant was resuscitated and discharged after 18 days. In conclusion, traumatic spleen rupture is an etiology to consider in pregnant women presenting with acute abdominal pain following sexual intercourse. Early suspicion and emergent cesarean delivery are the keys to optimize maternal and perinatal outcomes.
一名33岁孕妇在妊娠36周时因性交后突发急性腹痛被紧急送往医院。腹部检查未发现瘀伤。因顽固性低血压和休克，紧急进行了剖宫产。娩出的胎儿心脏骤停，在脾结肠韧带和胃脾韧带附着处发现脾脏活动性出血。患者接受了脾脏保守治疗，术后恢复顺利。婴儿复苏成功，18天后出院。总之，创伤性脾破裂是性交后出现急性腹痛的孕妇需要考虑的病因。早期怀疑并紧急剖宫产是优化母婴结局的关键。
