Splenic Vein Pseudoaneurysm and Rupture Presenting as Maternal Collapse Postpartum: Case Report

TL;DR

A rare case of a ruptured splenic vein pseudoaneurysm caused maternal collapse during pregnancy and was successfully treated with surgery.

Contribution

Highlights a rare cause of maternal collapse and the importance of rapid surgical intervention in such cases.

Findings

A ruptured splenic vein pseudoaneurysm was identified as the cause of hemoperitoneum in a pregnant woman.

Surgical exploration and splenectomy led to recovery of both mother and infant.

The case emphasizes the need for multidisciplinary management in rare obstetric emergencies.

Abstract

A multiparous woman at 27 weeks gestation presented with hemodynamic instability and nonreassuring fetal heart tones, prompting emergency cesarean delivery. Intraoperatively, hemoperitoneum was noted without pelvic source. Postoperatively, she deteriorated, necessitating exploratory laparotomy. A ruptured splenic vein pseudoaneurysm was identified and splenectomy was performed. Both mother and infant recovered and were discharged in stable condition. This case report illustrates a rare, life‐threatening cause of intra‐abdominal hemorrhage in pregnancy treated with surgical exploration, emphasizing the need for rapid diagnosis and multidisciplinary management.