A Case of Atraumatic Splenic Rupture in Twin Pregnancy

A 31 year old woman with 34 weeks of twin pregnancy underwent caserean section for fetal distres. Before the uterine incision, hemoperitoneum was observed and splenic rupture was detected when the origin of the bleeding was sought and primary repair was performed using compression sutures. As splenic rupture is a rare complication that is encountered during pregnancy, there might be a delay in diagnosis but emergency intervention is essential as haemorrhagic shock can easily develop in a short time.

[1]  I. Usta,et al.  Postpartum Splenic Rupture , 2003, Obstetrics and gynecology.

[2]  D. Valerio,et al.  Atraumatic rupture of the spleen in adults. , 2002, Journal of the Royal College of Surgeons of Edinburgh.

[3]  A. C. de Vries,et al.  Spontaneous rupture of the spleen: role of ultrasound in diagnosis, treatment, and monitoring. , 1999, The European journal of surgery = Acta chirurgica.

[4]  A. Kaluarachchi,et al.  Post-cesarean section splenic rupture. , 1995, American journal of obstetrics and gynecology.

[5]  D. Young,et al.  Spontaneous Rupture of the Spleen: A Fatal Complication of Pregnancy , 1995, The American journal of forensic medicine and pathology.

[6]  T. Denehy,et al.  Splenic torsion and rupture in pregnancy. , 1988, Obstetrical & gynecological survey.

[7]  J. de Graaff,et al.  Spontaneous rupture of the spleen in third trimester of pregnancy. Report of a case and review of the literature. , 1987, European journal of obstetrics, gynecology, and reproductive biology.

[8]  R. Sparkman.  Rupture of the spleen in pregnancy; report of two cases and review of the literature. , 1958, American journal of obstetrics and gynecology.

[9]  M. Orloff,et al.  Spontaneous rupture of the normal spleen; a surgical enigma. , 1958, International abstracts of surgery.