Splenic artery aneurysm rupture in late pregnancy: A case report and review of the literature

被引：8

作者：

Rahmoune, F. C. ^{[1
]}

Aya, G. ^{[2
]}

Biard, M. ^{[1
]}

Belkhayat, G. ^{[3
]}

Hamza, J. ^{[1
]}

Leperc, J. ^{[4
]}

Ouchtati, M. ^{[5
]}

机构：

[1] Hop St Vincent de Paul, Dept Anesthesie Reanimat, F-75674 Paris, France

[2] CHU Nimes, Dept Anesthesie Reanimat, F-30029 Nimes, France

[3] Ctr Hosp Intercommunal Creteil, Serv Gynecol Obstet, F-94010 Creteil, France

[4] Hop St Vincent de Paul, Serv Gynecol Obstet, F-75674 Paris, France

[5] CHU Constantine, Dept Anesthesie Reanimat, Constantine 25000, Algeria

来源：

ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION | 2011年 / 30卷 / 02期

关键词：

Haemorrhages; Non-obstetrical; Splenic artery aneurysm; Subcapsular liver haematoma; Rupture of the uterine vessels; FETAL SURVIVAL; MANAGEMENT; HEMATOMA;

D O I：

10.1016/j.annfar.2010.11.024

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Haemorrhages during pregnancy may have a non-obstetrical origin, the pregnancy itself favoring some specific aetiologies because of pregnancy-related physiological modifications. These non-obstetrical haemorrhages are rare but are associated with a high maternal and foetal mortality. The prognosis depends on an early diagnosis and a multidisciplinary approach. We report the case of a patient who had a caesarean section for suspicion of acute foetal distress during which was found a large intraperitoneal bleeding due to rupture of an unknown splenic artery aneurysm. We discuss the principal causes of non-obstetrical intra-abdominal bleeding, including subcapsular liver haematoma, rupture of uterine vessels and rupture of splenic artery aneurysm, with a specific focus on this last aetiology. (C) 2010 Elsevier Masson SAS. All rights reserved.

引用

页码：156 / 158

页数：3

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