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A A Pract. 2019 Jun 11. doi: 10.1213/XAA.0000000000001048. [Epub ahead of print]
Splenic Rupture and Postpartum Hemorrhage After Emergent Cesarean Delivery: A Case Report.
Gokul SR1, Riccio CA.
Author information
Abstract
Postpartum hemorrhage is a leading cause of maternal and fetal mortality. Although rare, peripartum splenic rupture (PSR) is a lethal cause of bleeding due to variable presentation and delayed diagnosis. A 22-year-old gravida 2, para 0, abortus 1 (G2P0A1) woman presented for premature rupture of membranes and was diagnosed with Influenza A and chorioamnionitis. She underwent emergent cesarean delivery under general anesthesia. Postoperatively, her condition worsened despite treatment for presumed sepsis. She was taken to the operating room for an exploratory laparotomy, and a splenectomy was performed for splenic rupture. We discuss management, risk factors, challenges, and importance of prompt treatment of PSR.
PMID: 31206379 DOI: 10.1213/XAA.0000000000001048
Splenic Rupture and Postpartum Hemorrhage After Emergent Cesarean Delivery: A Case Report.
Gokul SR1, Riccio CA.
Author information
Abstract
Postpartum hemorrhage is a leading cause of maternal and fetal mortality. Although rare, peripartum splenic rupture (PSR) is a lethal cause of bleeding due to variable presentation and delayed diagnosis. A 22-year-old gravida 2, para 0, abortus 1 (G2P0A1) woman presented for premature rupture of membranes and was diagnosed with Influenza A and chorioamnionitis. She underwent emergent cesarean delivery under general anesthesia. Postoperatively, her condition worsened despite treatment for presumed sepsis. She was taken to the operating room for an exploratory laparotomy, and a splenectomy was performed for splenic rupture. We discuss management, risk factors, challenges, and importance of prompt treatment of PSR.
PMID: 31206379 DOI: 10.1213/XAA.0000000000001048