Article information
Summary
Rupture of a splenic artery aneurysm during pregnancy is a rare but serious condition. Emergency caesarean section and splenectomy are mandatory. The clinical presentation is abdominal pain, hypotension and anaemia. This is deceiving to the obstetrician as it can simulate other conditions, such as uterine rupture or placental abruption.
Resumen
La rotura de un aneurisma de la arteria esplénicadurante el embarazo es una afección rara, pero depronóstico grave, imponiéndose la cesárea y la esplenectomía de urgencia. El cuadro clínico típico, queasocia dolor abdominal, hipotensión y anemia, esmuy engañoso para el obstetra, pues simula otros procesos, como un hematoma retroplacentario o una rotura uterina.
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Bibliografía
[1.]
C. Miquel Abbad.
Arteriopatías orgánicas ectasiantes.
13.a, pp. 648-651
[2.]
F. Navarrete Guijosa, J.J. González González, J.M. Estevan Solano.
Aneurismas de la arteria esplénica.
Tratado de Aneurismas, pp. 431-439
[3.]
J.C. Stanley, W.J. Fray.
Pathogenesis and clinical significance of splenic artery aneurysm.
Surgery, 76 (1974), pp. 898-909
[4.]
J.E. De Vries, M.E. Schattenkerk, R.A. Malt.
Complications of splenic artery aneurysm other than intraperitoneal rupture.
Surgery, 91 (1982), pp. 200-204
[5.]
V.F. Trastek, P.C. Pairolero, P.E. Bernatz.
Splenic artery aneurisms.
World J Surg, 9 (1985), pp. 378-383
[6.]
J.C. Stanley, G.B. Zelenock.
Splanchnic artery aneurysms.
pp. 969-983
[7.]
E.J. Angelakis, W.E. Bair, J.E. Barone, R.M. Lincer.
Splenic artery aneurysm rupture during pregnancy.
Obstet Gynecol Surv, 48 (1993), pp. 145-148
[9.]
R.A. Deterling.
Aneurysm of the visceral arteries.
J Cardio-vasc Surg, 12 (1971), pp. 309-322
[10.]
A. Barba, A. García Alfageme, E. Estallo, E. Estevan.
Epidemiología de los aneurismas de la aorta abdominal.
Tratado de aneurismas, pp. 51-70
[11.]
M.A. González Gutiérrez, F. Bardón Valcarce, J.M. Estevan Solano.
Aneurismas del sector ilíaco.
pp. 441-450
[12.]
S.G. Mattar, A.B. Lumsden.
The management of splenic artery aneurysms: experience with 23 cases.
Am J Surg, 169 (1995), pp. 580-584
[13.]
S. Miami, A. Arpesani, P.L. Giorgetti, V. Ramjooldi, F. Giorda-nengo, U. Ruberti.
Splanchnic artery aneurysms.
J Cardiovasc Surg, 34 (1993), pp. 221-228
[14.]
J.A.M. De Letter, F.E. Joos.
Multiple congenital aneurysm of unknown origin.
Eur J Vasc Surg, 5 (1991), pp. 349-354
[15.]
P. Beighton, A. De Paepe, D. Danks, G. Finidori, T. Gedde-Daht.
International nosology of heritable disorders of connective tissue.
[16.]
J.C. Duró Pujol.
Formas misceláneas de artritis: enfermeda-des hereditarias y congénitas.
13.a, pp. 1043-1045
[17.]
J.L. Jorizzo.
Classification of vasculitis.
J Invest Dermatol, 100 (1993), pp. S106-S110
[18.]
A. Gil Aguado.
Vasculitis: poliarteritis nudosa.
13.a, pp. 1107-1109
[19.]
O. Nishida, F. Moriyasu, T. Nakamura, N. Ban, K. Miura, S. Ma-sahiko, et al.
Hemodynamics of splenic artery aneurysm.
Gastroenterology, 90 (1986), pp. 1042-1046
[20.]
M.C. Norotsky, F.B. Rogers, R. Shachford.
Delayed presentation of splenic artery pseudoaneurysms following blunt abdominal trauma: case reports.
J Trauma, 38 (1995), pp. 447-457
[21.]
A. El Harnel, R. Parc, G. Adda, P.Y. Bouteloup, C. Huguet, M. Malafose.
Bleeding pseudocysts and pseudoaneurysms in chronic pancreatitis.
Br J Surg, 78 (1991), pp. 1059-1063
[22.]
J. Jiménez Miramón, J.M. Jover Navalón, C. Cerquella Hernán-dez, L.M. Díaz Jiménez, L.M. Fernández, R. Fernández Lobato, et al.
Aneurismas de la arteria esplénica.
Cir Esp, 56 (1994), pp. 23-27
[23.]
R. Sarkar, A.G. Coran, R.E. Cilley, S.M. Lindenauer, J.C. Stanley.
Arterial aneurysms children: clinicopathology classification.
J Vasc Surg, 13 (1991), pp. 47-57
[24.]
R.J. Holdsworth, A. Jun.
Ruptured splenic artery aneurysm in pregnancy. A review.
Br J Obstet Gynaecol, 99 (1992), pp. 595-597
[25.]
O. Lawaetz, J.B. Hamsen, K. Folke.
Ruptured arteriosclerotic aneurysms of the splenic artery.
Acta Chir Scand, 142 (1976), pp. 335-337
[26.]
C.J. Lambert, J.W. Williamson.
Splenic artery aneurysm. A rare cause of upper gastrointestinal bleeding.
Am Surg, 56 (1990), pp. 543-545
[27.]
G.A. Del Gaudio, L. Boschi, A. Del Gaudio.
Splenic artery aneurysms: favorable outcome after two different types of rupture–case report.
Vas Surg, 26 (1992), pp. 241-247
[28.]
J.M. Estevan, A. García de la Torre, A.J. Pacho, M.F. Polvorinos, A. Valle, O. Díe, et al.
Aneurismas de la arteria espléni-ca.
Rev Esp Enf Ap Digest, 55 (1979), pp. 599-606
[29.]
D.H. Short, M.K. Puyau, J.L. Sauls, M.D. Kerstein.
Use of digital substraction angiography in the diagnosis of splenic artery aneurysms.
Am Surg, 51 (1985), pp. 606-608
[30.]
J. Golzorian, P. Braude, W.O. Bank, M. Zalcman, D. Van Gans-beke.
Case report: colour Doppler demonstration of pseu-do-aneurysms complicating pancreatic pseudocysts.
Br J Radiol, 67 (1994), pp. 91-93
[31.]
M. Obserwalder, N.I. Schwab, K. Pecoraro, R. Pointner.
Endoscopy image of splenic artery aneulysm.
Endoscopy, 26 (1994), pp. 566-568
[32.]
N. Chakfe, F. Mantz, J.G. Kretz, P. Gasser, R. Loson, B. Eise-mann.
Treatment of distal splenic artery aneurysm with splenic conservation.
J Cardiovasc Surg, 34 (1993), pp. 503-506
[33.]
D. Mathieu, M. Paret, H. Hoeffel, T. Sitruk, C. Portel, C. Radier, et al.
Anévrysmes de l’artére splénique. Encycl Med Chir Radiodiagnostic –Appareil Digestif.
pp. 33-605
[34.]
M. Hashizume, M. Ohta, K. Ueno, K. Okadone, K. Sugimachi.
Laparoscopic ligation of splenic artery aneurysm.
Surgery, 133 (1993), pp. 352-354
[35.]
S.M. Tadavarthy, L. Knight, T.W. Ovitt, C. Sneyder, K. Amplatz.
Therapeutic transcatheter arterial embolization.
Radiology, 112 (1974), pp. 13-16
[36.]
P. Pirollet, L. Picard, S. Bracard, B. Champigneulle, P. Robert, M. Claudon, et al.
Anéurysme de l’artére splénique. Traite-ment par radiologique interventionnelle.
Gastroenterol Clin Biol, 13 (1989), pp. 849-850
[37.]
T.A. Salam, A.B.M. Lumsden, L.G. Martin, R.B. Smith III.
Nonoperative management of visceral aneurysms and pseudoa-neurysms.
Am J Surg, 164 (1992), pp. 215-219
[38.]
V.G. McDermott, R. Shlansky-Goldberg, C. Cope.
Endovascular management of splenic artery aneurysms and pseudo-aneurysms..
Cardiovasc Intervent Radiol, 17 (1994), pp. 179-184
[39.]
C. Buchet, P. Simon, J. Bertrand, J. Lausac.
Rupture sponta-neé d’un aneurysme de l’artére splénique en cours de grossesse.
J Gynecol Obstet Biol Reprod, 13 (1984), pp. 157-163
[40.]
H. Marret, M. Laffon, L. De Calan, P. Bourlier, J. Lansac.
Urgences chirurgicales au cours de la grossesse. Encycl Méd Chir Gynécologie/Obstétrique.
pp. 45-49
[41.]
J.C. Caillovette, E.B. Merchant.
Ruptured splenic artery aneurysm in pregnancy. Twelfth reported case with maternal and fetal survival.
Am J Obstet Gynecol, 168 (1993), pp. 1010-1011
[42.]
D. Gallot, J.A. Bournazeau, J. Amblard, J.L. Pouly, D. Lemery.
Rupture pergravidique d’un anéurysme de l’artère splénique. A propos d’une observation.
J Gynecol Obstet Biol Re-prod, 28 (1999), pp. 168-170
[43.]
R.A. Anderson, P.W. Fineron.
Aortic dissection in pregnancy: importance of pregnancyinduced changes in the vessel wall and bicuspid aortic valve in pathogenesis.
Br J Obstet Gynecol, 101 (1994), pp. 1085-1088
[44.]
G. Bercau, V. Castaigne, S. Mihaileanu, J.P. Covetil, M. Freund, E. Sauvanet.
Dissection de l’aorte ascendante et grossesse. A propos d’un cas et revue de la littérature.
J Gynecol Obstet Biol Reprod, 26 (1997), pp. 540-542
[45.]
M.M. Sánchez, R.M. García, J. Moro, A.I. Teijelo, F. Jiménez, J.A. Pérez, et al.
Gestación: Disección de la aorta ascendente.
Cienc Ginecol, 3 (1999), pp. 119-125
[46.]
E.S. Crawford, W.C. Beckett, M.S. Green.
Yuxtarenal infrare-nal abdominal aortic aneurysm.
Ann Surg, 203 (1986), pp. 661-670
[47.]
R. Gesto Castromil.
Aneurismas de aorta para-renales y yuxtarrenales.
Tratado de Aneurismas, pp. 179-197
[48.]
A. Clará, F. Vidal-Barraquer.
Aneurismas de arteria renal.
Tratado de aneurismas, pp. 409-417
[49.]
R. Haimovich, S. Sprayregen.
Celiac artery aneurysmectomy.
Surgery, 79 (1976), pp. 5-8
[50.]
L.M. Graham, J.C. Stanley, W.M. White-House Jr.
Celiac artery aneurysms: historic (1745-1949) versus contemporary (1950-1984), differences in etiology and clinical importance.
J Vasc Surg, 2 (1995), pp. 757-764
[51.]
A.B. Lumsem, S.G. Matter, R.C. Allen, E.A. Bacha.
Hepatic artery aneurysms: the managements of 22 patients.
J Surg Res, 60 (1996), pp. 345-350
[52.]
P. Lozano, J. Juliá, C. Corominas.
Aneurismas digestivos.
Tratado de aneurismas, pp. 419-430
[53.]
B.C. Wexler.
Spontaneous arteriosclerosis of the mesenteria, renal and peripheral arteries of repeatedly bred rats.
Circ Res, 15 (1964), pp. 485-489
[54.]
J.R. Cohen, F. Shamash.
Ruptured renal artery aneurysms during pregnancy.
J Vasc Surg, 6 (1987), pp. 51-56
[55.]
P. Czekelius, L. Deicher, T. Gesenlues.
Rupture of an aneurysm of the splenic artery and pregnancy: a case report.
Eur J Obstet Gynecol Reprod Biol, 38 (1991), pp. 229-232
[57.]
P. Pedowitz, L. Perell.
Aneurysms complicated by pregnancy.
Am J Obstel Gynecol, 73 (1957), pp. 720-735
[58.]
D.R. Abramovich, W. Francis, C.R. Helsby.
Two cases of rupture aneurysm of splanchnic arteries in pregnancy with comment on the lesser sac syndrome.
J Obstet Gynaecol Br Common, 76 (1969), pp. 1037-1039
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