Ruptured splenic artery aneurysms in pregnancy and usefulness of endovascular treatment in selective patients:A case report and review of literature  

作　　者：Sang Hun Lee Songsoo Yang Inkyu Park Yeong Cheol Im Gyu Yeol Kim 

机构地区：[1]Department of Obstetrics and Gynecology,Ulsan University and Ulsan University Hospital,Ulsan 44033,South Korea [2]Department of Surgery,Ulsan University and Ulsan University Hospital,Ulsan 44033,South Korea

出　　处：《World Journal of Clinical Cases》2022年第25期9057-9063,共7页世界临床病例杂志

摘　　要：BACKGROUND The rupture of a splenic artery aneurysm(SAA)in pregnancy is an uncommon condition.However,it is associated with high mortality rates in pregnant women and fetuses even after surgical treatment.Though the endovascular treatment of SAAs is currently preferred as it can improve the outcomes even in emergent cases,the endovascular treatment of a ruptured SAA during pregnancy has not been reported until date.CASE SUMMARY We report a case of a 33-year-old woman with the sudden onset of epigastric pain due to a ruptured SAA at the mid-portion of the splenic artery at 18 wk of pregnancy.After emergent initial resuscitation,the patient was diagnosed with a ruptured SAA through digital angiography.Immediately upon diagnosis,she underwent emergent endovascular embolization of the splenic artery for the rupture on the spot.Next,surgery was performed to remove the hematoma under stable conditions.Although the fetus was found to be dead during resuscitation,the woman recovered without complications and was discharged 15 d postoperatively.CONCLUSION Endovascular treatment might be a valuable alternative to surgery/lead to safer surgery for selected pregnant patients with ruptured SAAs.

关 键 词：Splenic artery ANEURYSM PREGNANCY Endovascular treatment Case report 

分 类 号：R714.25[医药卫生—妇产科学]