CASE PRESENTATION: A pregnant @entity1 at 22+5/7weeks gestation presented to the @entity341 ( @entity341 ) from an outpatient clinic, @entity551 after experiencing a @entity1163 . On arrival to the ER she was @entity490 . A bedside FAST was performed and noted free fluid in the abdomen. Subsequent CT obtained noted the rare but life-threatening diagnosis of @entity1756 that resulted in emergent transfer to the operating room with OB/GYN and general surgery. The @entity1 underwent emergent splenectomy and endovascular repair with vascular surgery, as well as massive transfusion and was transferred to the ICU post-operatively. The @entity1 made a complete recovery and was discharged home on day four of her hospital stay. She underwent an uncomplicated cesarean section at 37+1weeks (Figs. 1-4). DISCUSSION: Rare but baring a high mortality rate, @entity438 should be on the differential of any pregnant @entity1 with @entity490 , especially in the setting of hemodynamic instability. Prompt recognition, early involvement of OB/GYN and vascular surgery as well as rapid surgical intervention is needed for stabilization. These @entity1 may require large amounts of blood for transfusion and it is important to acquire labs including a type and cross to avoid delays in resuscitation. Over 100 cases of @entity5475 in pregnancy have been reported, but a minority reported both maternal and fetal survival.

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@entity1 :: ('9606', 'Species') :: ['woman', 'patients', 'patient'] @entity438 :: ('MESH:D002532', 'Disease') :: ['splenic artery aneurysm'] @entity341 :: ('MESH:D004630', 'Disease') :: ['emergency department', 'ED'] @entity1163 :: ('MESH:D013575', 'Disease') :: ['syncopal episode'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain', 'tachycardic, tachypneic and complaining of abdominal pain'] @entity5475 :: ('6287', 'Gene') :: ['SAA'] @entity551 :: ('MESH:D007022', 'Disease') :: ['hypotensive'] @entity1756 :: ('MESH:D017542', 'Disease') :: ['ruptured splenic artery aneurysm']
@entity1756 :: (MESH:D017542,Disease) :: ['Splenic artery aneurysm rupture']
