Managing the Unexpected: Ruptured Splenic Artery Aneurysm in a Pregnant Patient
Document Type
Conference Proceeding
Publication Date
10-11-2025
Abstract
A 31-year-old G5P2 female at 32 weeks gestation presented to the emergency department with chest pain and emesis. Chest CTA ruled out PE, but revealed a complex fluid collection in the LUQ. In OB triage, fetal heart tracings demonstrated minimal variability and recurrent late decelerations, prompting an urgent cesarean delivery with evacuation of 1000cc of bloody ascites. Postoperatively, the patient became tachycardic, hypotensive, and disoriented. An immediate exploratory laparotomy identified a ruptured splenic artery aneurysm requiring ligation and massive resuscitation. We will discuss the vascular impact of elevated estrogen and progesterone in pregnancy and perioperative management of splenic artery aneurysms and ruptures.
Recommended Citation
Jaradi M, Aslam H, Balce M, Vahabzadeh C, Soto R. Managing the unexpected: ruptured splenic artery aneurysm in a pregnant patient. Presented at: American Society of Anesthesiologists Anesthesiology Annual Meeting; 2025 Oct 11; San Antonio, TX. Available from:https://www.abstractsonline.com/pp8/#!/21028/presentation/8057
Comments
American Society of Anesthesiologists Anesthesiology Annual Meeting, October 10-14, 2025, San Antonio, TX