Fatal spontaneous rupture of splenic artery aneurysm in third trimester pregnancy

Samberkar, Prashant Naresh and Chow, Tak Kuan and Samberkar, Snehlata Prashant (2018) Fatal spontaneous rupture of splenic artery aneurysm in third trimester pregnancy. The Malaysian Journal of Pathology, 40 (3). pp. 337-341. ISSN 0126-8635,

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Official URL: http://www.mjpath.org.my/2018/v40n3/spontaneous-ru...

Abstract

Introduction: Unforeseen emergency in late pregnancy can be catastrophic and cause unexpected maternal and foetal demise. Moreover, lack of awareness and failure of prompt treatment raise mortality rate. Such fatalities warrant a forensic autopsy as it may raise redundant medico-legal concerns. Case Report: We report a case that revealed significant intra-abdominal haemorrhage at autopsy. The source of haemorrhage was at the spleen hilum and histology established rupture of splenic artery aneurysm. There was no associated obstetric cause found. Conclusion: Knowledge of spontaneous rupture of splenic artery aneurysm in late pregnancy is essential for monitoring maternal and foetal, morbidity and mortality. However, in the eventuality of death a comprehensive forensic autopsy is the only investigation to recognise such calamity and clear clinical confusion.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: Spontaneous rupture; splenic artery aneurysm; late pregnancy; haemoperitoneum; forensic autopsy
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 22 Mar 2019 04:34
Last Modified: 22 Mar 2019 04:34
URI: http://eprints.um.edu.my/id/eprint/20788

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