Sharma Chirag, Patel Hina
Obstetrics and Gynaecology, Gujarat Medical Education and Research Society (GMERS) Medical College and Hospital, Valsad, IND.
Cureus. 2023 Dec 10;15(12):e50266. doi: 10.7759/cureus.50266. eCollection 2023 Dec.
Spontaneous rupture of the spleen during pregnancy is a rare and life-threatening occurrence, typically occurring in the third trimester or postpartum period. The mechanisms behind this phenomenon are still not fully understood, as it can happen without any obvious trauma, and even a minor abdominal strain can trigger it. We present a case of a 25-year-old woman with severe preeclampsia in which vaginal delivery was followed by spontaneous splenic rupture. A splenectomy was performed. Early diagnosis and management are crucial and can be aided by physical examination, ultrasonography, and clinical suspicion. It is imperative for obstetricians to be aware of this potentially fatal condition, as delayed diagnosis and treatment can have serious consequences for both the mother and the neonate.
妊娠期脾脏自发性破裂是一种罕见且危及生命的情况，通常发生在妊娠晚期或产后。这种现象背后的机制仍未完全明确，因为它可能在没有任何明显创伤的情况下发生，甚至轻微的腹部用力都可能引发。我们报告一例25岁重度子痫前期女性病例，其经阴道分娩后发生脾脏自发性破裂。进行了脾切除术。早期诊断和处理至关重要，体格检查、超声检查及临床怀疑有助于诊断。产科医生必须了解这种潜在的致命情况，因为诊断和治疗延迟可能对母亲和新生儿都造成严重后果。
