Ruptured spleen in pregnancy

摘要

Rupture of a normal spleen during pregnancy is very rare. We report a case of splenic rupture following an unclear history of falling in third trimester of pregnancy. Abruptio placenta was suspected preoperatively but, after caesarean section, exploration of the abdominal cavity revealed a ruptured spleen and splenectomy was performed. Disseminated intravascular coagulopathy (DIC), renal failure, adult respiratory distress, necrotizing enterocolitis and bilateral hydrothorax were complications which were managed successfully.