Spontaneous Splenic Rupture Following Cesarean Section in a Preeclamptic Woman with Twin Pregnancy

BACKGROUND AND OBJECTIVE: Spontaneous splenic rupture is rare in pregnancy and puerperium, and if the diagnosis and treatment are delayed, maternal mortality and morbidity rates remain extremely high. In this article a case of a spontaneous splenic rupture following cesarean section is reportedCASE:...

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Main Authors: M Yaghmaei, M Zamiri Oskouei, S Sadeghi, M Mokhtari
Format: Article
Language:English
Published: Babol University of Medical Sciences 2013-11-01
Series:Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul
Subjects:
Online Access:http://jbums.org/article-1-4592-en.html
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author M Yaghmaei
M Zamiri Oskouei
S Sadeghi
M Mokhtari
author_facet M Yaghmaei
M Zamiri Oskouei
S Sadeghi
M Mokhtari
author_sort M Yaghmaei
collection DOAJ
description BACKGROUND AND OBJECTIVE: Spontaneous splenic rupture is rare in pregnancy and puerperium, and if the diagnosis and treatment are delayed, maternal mortality and morbidity rates remain extremely high. In this article a case of a spontaneous splenic rupture following cesarean section is reportedCASE: A 24-year-old healthy woman had elective cesarean because of twin pregnancy at 38 weeks of pregnancy. She was reexplored for hemorrhagic shock on her first postpartum day. Urgent laparotomy revealed hemoperitoneum due to splenic vein rupture. Uterus and adnexa were normal and splenectomy was performed. The patient was not traumatized during surgery or postoperatively and microscopic examination of spleen was normal. CONCLUSION: However spontaneous splenic rupture is a rare event, it should be suspected in any women with unexplained abdominal pain or with signs of internal bleeding during pregnancy or early postpartum.Please cite this article as follows:Yaghmaei JM, Zamiri Oskouei M, Sadeghi S, Mokhtari M. Spontaneous Splenic Rupture Following Cesarean Section in a Preeclamptic Woman with Twin Pregnancy. Babol Univ Med Sci 2013 15(6):104-107.
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spelling doaj.art-f1cd978895274a0ba49e2a6f2226d48e2022-12-22T02:20:57ZengBabol University of Medical SciencesMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul1561-41072251-71702013-11-01156104107Spontaneous Splenic Rupture Following Cesarean Section in a Preeclamptic Woman with Twin PregnancyM Yaghmaei0M Zamiri Oskouei1S Sadeghi2M Mokhtari3 BACKGROUND AND OBJECTIVE: Spontaneous splenic rupture is rare in pregnancy and puerperium, and if the diagnosis and treatment are delayed, maternal mortality and morbidity rates remain extremely high. In this article a case of a spontaneous splenic rupture following cesarean section is reportedCASE: A 24-year-old healthy woman had elective cesarean because of twin pregnancy at 38 weeks of pregnancy. She was reexplored for hemorrhagic shock on her first postpartum day. Urgent laparotomy revealed hemoperitoneum due to splenic vein rupture. Uterus and adnexa were normal and splenectomy was performed. The patient was not traumatized during surgery or postoperatively and microscopic examination of spleen was normal. CONCLUSION: However spontaneous splenic rupture is a rare event, it should be suspected in any women with unexplained abdominal pain or with signs of internal bleeding during pregnancy or early postpartum.Please cite this article as follows:Yaghmaei JM, Zamiri Oskouei M, Sadeghi S, Mokhtari M. Spontaneous Splenic Rupture Following Cesarean Section in a Preeclamptic Woman with Twin Pregnancy. Babol Univ Med Sci 2013 15(6):104-107.http://jbums.org/article-1-4592-en.htmlHemoperitoneumSplenic ruptureCesarean sectionPreeclampsia.
spellingShingle M Yaghmaei
M Zamiri Oskouei
S Sadeghi
M Mokhtari
Spontaneous Splenic Rupture Following Cesarean Section in a Preeclamptic Woman with Twin Pregnancy
Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul
Hemoperitoneum
Splenic rupture
Cesarean section
Preeclampsia.
title Spontaneous Splenic Rupture Following Cesarean Section in a Preeclamptic Woman with Twin Pregnancy
title_full Spontaneous Splenic Rupture Following Cesarean Section in a Preeclamptic Woman with Twin Pregnancy
title_fullStr Spontaneous Splenic Rupture Following Cesarean Section in a Preeclamptic Woman with Twin Pregnancy
title_full_unstemmed Spontaneous Splenic Rupture Following Cesarean Section in a Preeclamptic Woman with Twin Pregnancy
title_short Spontaneous Splenic Rupture Following Cesarean Section in a Preeclamptic Woman with Twin Pregnancy
title_sort spontaneous splenic rupture following cesarean section in a preeclamptic woman with twin pregnancy
topic Hemoperitoneum
Splenic rupture
Cesarean section
Preeclampsia.
url http://jbums.org/article-1-4592-en.html
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