A Splenic Rupture Following a Singleton Spontaneous Vaginal Delivery: The First-Known Case Report in Saudi Arabia.
| Autor: | Ahmed RA; Department of General Medicine and Surgery, Batterjee Medical College for Science and Technology, Jeddah, SAU.; Department of Obstetrics and Gynecology, Aya Specialist Hospital, Jeddah, SAU., Yaseen FA; Department of General Medicine and Surgery, Batterjee Medical College for Science and Technology, Jeddah, SAU.; Department of Obstetrics and Gynecology, Aya Specialist Hospital, Jeddah, SAU., Aljudaibi RS; Department of General Medicine and Surgery, Batterjee Medical College for Science and Technology, Jeddah, SAU.; Department of Obstetrics and Gynecology, Aya Specialist Hospital, Jeddah, SAU., Ahmed NA; Department of Obstetrics and Gynecology, Saudi Board in Obstetrics and Gynecology, Aya Specialist Hospital, Jeddah, SAU. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Apr 14; Vol. 16 (4), pp. e58246. Date of Electronic Publication: 2024 Apr 14 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.58246 |
| Abstrakt: | A spontaneous rupture of the spleen during pregnancy or post-delivery is an exceptionally rare but potentially fatal maternal complication that poses a significant challenge in diagnosis and management. Herewith, we present a case of a 31-year-old female patient who experienced a spontaneous splenic rupture following a singleton vaginal delivery. Despite lacking any history of trauma or a predisposing factor, she developed symptoms of dizziness and postpartum abdominal pain, progressing rapidly to unconsciousness. Urgent abdominal ultrasound revealed significant intraperitoneal bleeding with a large peri-splenic hematoma, necessitating emergency exploratory laparotomy. Histopathological examination of a frozen section ruled out malignancy, and thus, a complete splenectomy was done, which confirmed the diagnosis of spontaneous splenic rupture. This case emphasizes the importance of close monitoring of all postpartum women, even those with low-risk pregnancies, for the early detection of any complication. Healthcare providers should maintain a high index of suspicion for rare but potentially life-threatening events to ensure timely intervention and optimal outcomes. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Ahmed et al.) |
| Databáze: | MEDLINE |
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