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- Title
Fatal spontaneous rupture of splenic artery aneurysm in third trimester pregnancy.
- Authors
SAMBERKAR, Prashant Naresh; CHOW, Tak Kuan; SAMBERKAR, Snehlata Prashant
- 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.
- Subjects
RUPTURED aneurysms; SPLENIC artery; ANEURYSMS; THIRD trimester of pregnancy; FETAL death
- Publication
Malaysian Journal of Pathology, 2018, Vol 40, Issue 3, p337
- ISSN
0126-8635
- Publication type
Article