Mehmet Sühha BOSTANCI, Selçuk ÖZDEN, Gülfem İĞCİ, Erhan ŞİT

Gebelikde görülen spontan dalak rüptürü: Bir olgu sunumu

Spontan dalak rüptürü dalak yapısını normal olduğu durumlarda gebelikde nadir görülen bir durumdur. Gebelikde spontan dalak rüptürü tanısı bulgu ve belirtilerin uterus rüptürü, dekolman plasenta gibi obstetrik aciller ile karışabilmesi nedeniyle oldukça zordur. Erken tanı ve agresif cerrahi müdahale optimum maternal ve perinatal sonuçlar sağlayacaktır. Bu olgu sunumunda gebelikte nadir görülen bir durum olan spontan dalak rüptürünün tanısı zor hayati risk arz eden bir durum olduğuna dikkat çekmek istedik.

Anahtar Kelimeler:

Gebelik, Dalak Rüptürü, obstetrik acil

Spontaneous splenic rupture in pregnancy: A case report

Spontaneous rupture of the spleen rarely occurs in the setting of a normal spleen during pregnancy. The diagnosis of splenic rupture during pregnancy is difficult to make as it shares signs and symptoms with a number of other conditions, such as uterine rupture and placental abruption. Early diagnosis and aggressive surgical intervention will allow for optimal maternal and perinatal outcome. Through this case report, we want to draw attention to the fact that spontaneous rupture of a normal spleen is life-threatening condition which difficult to diagnose.

Keywords:

Pregnancy, splenic rupture, obstetrics emergency,

PDF

___

Adam I, Adam ES. Spontaneous splenic rupture in a pregnant Sudanese woman with Falciparum malaria: a case report. East Mediterr Health J 2007;13:735–6
Lieberman ME, Levitt MA. Spontaneous rupture of the spleen: a case report and literature review. Am J Emerg Med. 1989;7:28–31.
Fletcher H, Frederick J, Barned H, Lizarraga V. Spontaneous rupture of the spleen in pregnancy with splenic conservation. West Indian Med J 1989;38:114–5.
Orloff MJ, Peskin GW. Spontaneous rupture of the normal spleen; a surgical enigma. Int Abstr Surg 1958;106:1–11.
Wang C, Tu X, Li S, Luo G, Norwitz ER.Spontaneous rupture of the spleen: a rare but serious case of acute abdominal pain in pregnancy.J Emerg Med. 2011;41(5):503-6.
Dave A, Dhand H, Mujalde A.Spontaneous rupture of spleen during pregnancy.J Obstet Gynaecol India. 2012;62(6):692-3
Al Inzi S, Mohiyiddeen G, Dalal N, Pratap C, Gilmour K.Spontaneous rupture of the spleen - a fatal complication of pregnancy.J Obstet Gynaecol. 2009;29(6):555-6.
Di Vella G, Arpaio A, Marzullo A, et al. Rupture of the spleen or splenic vessels (splenic emergency syndrome) in late pregnancy: a report of two autopsy cases. Forensic Sci Int 2008;176: e1–5
Maymon R, Zimenman AL, Strauss S, Gayer G. Maternal spleen size throughout normal pregnancy. Semin Ultrasound CT MR 2007;28:64–6.