Splenic rupture after sexual intercourse in a pregnant woman: an extremely rare case.
Abdallah ChaarWael AbdallahRichard KharratMalek NassarPublished in: Future science OA (2021)
A 33-year-old pregnant woman presented at 36 weeks gestation to the emergency with acute abdominal pain that started after vaginal intercourse. No bruising was present on the abdominal examination. An emergent cesarean delivery was performed for resistant hypotension and collapse. A fetus with cardiac arrest was delivered, and active spleen bleeding was identified at the splenocolic and gastrosplenic ligament insertion. The patient had a conservative treatment of the spleen and an uncomplicated postoperative course. The infant was resuscitated and discharged after 18 days. In conclusion, traumatic spleen rupture is an etiology to consider in pregnant women presenting with acute abdominal pain following sexual intercourse. Early suspicion and emergent cesarean delivery are the keys to optimize maternal and perinatal outcomes.
Keyphrases
- abdominal pain
- pregnant women
- cardiac arrest
- case report
- rare case
- men who have sex with men
- liver failure
- pregnancy outcomes
- respiratory failure
- cardiopulmonary resuscitation
- aortic dissection
- patients undergoing
- drug induced
- public health
- spinal cord injury
- healthcare
- emergency department
- gestational age
- mental health
- preterm infants
- birth weight
- urinary tract infection
- adipose tissue
- metabolic syndrome
- replacement therapy
- acute respiratory distress syndrome
- body mass index