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Splenic artery aneurysm (SAA) is a rare clinical condition that is associated with a risk of rupture and catastrophic haemorrhage, and its incidence ranges between 0.01-0.09%.[1,2] Although a seemingly rare entity, SAA has been estimated to affect 20-40% of parturients with no other underlying medical problems.[3]

This has been attributed to the various hormonal changes that accompany normal pregnancy. Rupture of SAA has been described as either a single precipitous event or a two-staged phenomenon with the bleed being initially contained in the lesser sac with an apparent antecedent haemodynamically stable phase followed by cataclysmic decompensation when the contained bleed leaks into the greater sac. This can take anything between 6 – 96 hours.[4] However, in pregnancy, this process can be rapid. We present one such case of a parturient, with initially preserved haemodynamics, followed by rapid decompensation, with ultimately good maternal and neonatal outcomes.

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How to Cite
Priyash Verma, & Lucy Bates. (2022). Splenic Artery Aneurysm Rupture in a Parturient - Case Report. Journal of Evolution of Medical and Dental Sciences, 11(10), 834–836.


  1. Sadat U, Dar O, Walsh S, et al. Splenic artery aneurysms in pregnancy-a systematic review. Int J Surg 2007;6(3):261-5.
  2. Selo-Ojeme DO, Welch CC. Review: spontaneous rupture of splenic artery aneurysm in pregnancy. Eur J Obstet Gynecol Reprod Biol 2003;109(2):124-7.
  3. Garey ML, Greengerger S, Werman H. Ruptured splenic artery aneurysm in pregnancy: a case series. Air Medical Journal 2014;33(5):214-7.
  4. Dhinakar M, Al Mashini S, Golash V. Rupture of splenic artery aneurysm during pregnancy: a report of two cases. Oman Med J 2011;26(5):e025.
  5. McMahon DP, Ward WH, Harwood JL, et al. An institutional review of splenic artery aneurysm in childbearing-aged females and splenic artery aneurysm rupture during pregnancy. Is screening justified? Mil Med 2012;177(1):96-8.
  6. Ha JF, Phillips M, Faulkner K. Splenic artery aneurysm rupture in pregnancy. Eur J Obstet Gynecol Reprod Biol 2009;146(2):133-7.
  7. Jacobson J, Gorbatkin C, Good S, et al. Splenic artery aneurysm rupture in pregnancy. The American Journal of Emergency Medicine 2017;35(6):935.e8.
  8. Corey EK, Harvey SA, Sauvage LM, et al. A case of ruptured splenic artery aneurysm in pregnancy. Case Rep Obstet Gynaecol 2014;2014:793735.
  9. Mattar SG, Lumsden AB. The management of splenic artery aneurysms: experience with 23 cases. Am J Surg 1995;169(6):580-4.