Thakkar U
Med J Zambia. 1981 Feb-Mar;15(2):32-4.
Spontaneous rupture of spleen, is a rare abdominal catastrophe, during pregnancy and labour, associated with 100% maternal and foetal mortality if not diagnosed in time. An awareness about this rare entity on the part of an obstetrician leading to timely diagnosis, prompt splenectomy and proper replacement of blood provides good prognosis for mother and foetus. A rare case of spontaneous rupture of NORMAL spleen during labour with delivery of a live baby by lower segment caesarean section followed by splenectomy is presented and the literature is reviewed.
脾脏自发性破裂是妊娠和分娩期间一种罕见的腹部急症,如果不能及时诊断,母婴死亡率可达100%。产科医生若能对这种罕见病症有所认识,从而实现及时诊断、迅速进行脾切除术并适当输血,则可为母婴带来良好预后。本文报告了一例分娩时正常脾脏自发性破裂的罕见病例,通过下段剖宫产娩出活婴后行脾切除术,并对相关文献进行了综述。