Sengul Mustafa, Sen Selim Halime
Obstetrics and Gynecology Department, Izmir Katip Celebi University, İzmir, Turkey.
Obstetrics and Gynecology Department, Izmir Katip Celebi University Atatürk Training and Research Hospital, İzmir, Turkey.
J Obstet Gynaecol. 2022 Oct;42(7):2547-2549. doi: 10.1080/01443615.2022.2081794. Epub 2022 Jun 10.
Pregnancy-related rupture of an arterial aneurysm is an unusual occurrence associated with an increased risk of morbidity and mortality. Splenic artery aneurysms are the most common (60%), followed by hepatic (20%), superior mesenteric (5.9%), coeliac (4%), ovarian, uterine, and renal (<2%) arteries during pregnancy. Rupture of the superior mesenteric artery is uncommon. We present a case of a maternal death occurring after spontaneous rupture of a superior mesenteric artery after caesarean section. On the third day of post-operation, the woman presented with sudden onset of abdominal pain and collapse. At laparotomy she was found to have massive intraperitoneal bleeding because of superior mesenteric artery rupture.We report this case to increase awareness of superior mesenteric artery rupture during pregnancy, even during the postpartum period in patients presenting to the emergency service with haemorrhagic shock.
妊娠相关的动脉动脉瘤破裂是一种不常见的情况，与发病和死亡风险增加相关。脾动脉瘤是最常见的（60%），其次是肝动脉瘤（20%）、肠系膜上动脉瘤（5.9%）、腹腔干动脉瘤（4%），妊娠期间卵巢、子宫和肾动脉瘤破裂的情况较少（<2%）。肠系膜上动脉瘤破裂并不常见。我们报告一例剖宫产术后肠系膜上动脉自发破裂导致产妇死亡的病例。术后第三天，该女性突然出现腹痛并晕倒。剖腹探查时发现她因肠系膜上动脉破裂导致腹腔内大量出血。我们报告此病例是为了提高对妊娠期间甚至产后出现失血性休克而前往急诊的患者肠系膜上动脉破裂的认识。
