Splenic rupture associated with severe preeclampsia

A case report

P. Scott Barrilleaux, Charles Adair, Glenda Johnson, David F. Lewis

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

BACKGROUND: Splenic rupture is a very rare event complicating pregnancy. Approximately 5% of cases reported have involved the postpartum period. Unrecognized, this complication is universally fatal. CASE: Preeclampsia and pulmonary edema complicated a 42-year-old woman's intrapartum care. After cesarean delivery she was supported with mechanical ventilation, blood products and invasive monitoring. Shortly thereafter, she became hypotensive and developed disseminated intravascular coagulation. During exploratory laparotomy a splenic capsular rupture was identified. Splenectomy and continued intensive care support ultimately reversed the severe end-organ consequences. CONCLUSION: It is extremely important that this condition be maintained in the diagnostic differential of postoperative hemodynamic instability. Failure to identify it is invariably fatal. Awareness and intervention are essential to ensure a good outcome.

Original languageEnglish (US)
Pages (from-to)899-901
Number of pages3
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume44
Issue number10
StatePublished - Oct 1 1999

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Splenic Rupture
Pre-Eclampsia
Disseminated Intravascular Coagulation
Splenectomy
Pulmonary Edema
Critical Care
Artificial Respiration
Laparotomy
Postpartum Period
Hemodynamics
Pregnancy

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Splenic rupture associated with severe preeclampsia : A case report. / Barrilleaux, P. Scott; Adair, Charles; Johnson, Glenda; Lewis, David F.

In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist, Vol. 44, No. 10, 01.10.1999, p. 899-901.

Research output: Contribution to journalArticle

Barrilleaux, P. Scott ; Adair, Charles ; Johnson, Glenda ; Lewis, David F. / Splenic rupture associated with severe preeclampsia : A case report. In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist. 1999 ; Vol. 44, No. 10. pp. 899-901.
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