Vassalotti S B, Schaller J A
Obstet Gynecol. 1967 Aug;30(2):264-8.
The first known case of spontaneous antepartum rupture of a splenic artery aneurysm in pregnancy with maternal and fetal survival is reported. The removal of the aneurysm and splenectomy were accomplished without uterine evacuation of a 30-week gestation. A brief review of the recent literature revealed (1) the universal failure to diagnose this condition in pregnancy prior to rupture, (2) the characteristic clinical picture in pregnancy of double-rupture with a recovery phase lasting minutes to weeks, and (3) the important clinical features of abdominal hemorrhage in pregnancy from nonobstetric sources.
报道了首例已知的妊娠期间脾动脉动脉瘤自然产前破裂且母婴存活的病例。在未排空30周妊娠子宫的情况下完成了动脉瘤切除和脾切除术。对近期文献的简要回顾显示：（1）妊娠期间破裂前普遍未能诊断出这种情况；（2）妊娠期间双破裂的典型临床表现及持续数分钟至数周的恢复期；（3）非产科来源的妊娠期间腹腔内出血的重要临床特征。
