Abstract
Case PresentationA 33-year-old gravid female was brought to the emergency department after she collapsed in the street. Point-of-care ultrasound showed free fluid in the abdomen and confirmed an intrauterine pregnancy. Surgical teams were consulted, and cross-sectional imaging revealed a spontaneously ruptured splenic artery aneurysm (SAA). The patient was taken expeditiously to the operating room for splenic artery ligation and subsequent splenectomy.DiscussionRuptured SAA in pregnant patients is associated with significant mortality for both mother and fetus. Maintaining a high index of suspicion in the correct population is crucial to avoid diagnostic errors and provide definitive care with operative repair.
Highlights
Case Presentation: A 33-year-old gravid female was brought to the emergency department after she collapsed in the street
Ruptured splenic artery aneurysm (SAA) in pregnant patients is associated with significant mortality for both mother and fetus
CASE PRESENTATION A 33-year-old gravida 1 para 0 at 18 weeks gestational age presented to the emergency department for syncope
Summary
Case Presentation: A 33-year-old gravid female was brought to the emergency department after she collapsed in the street. Point-of-care ultrasound showed free fluid in the abdomen and confirmed an intrauterine pregnancy. Cross-sectional imaging revealed a spontaneously ruptured splenic artery aneurysm (SAA). The patient was taken expeditiously to the operating room for splenic artery ligation and subsequent splenectomy
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