Fatal spontaneous rupture of splenic artery aneurysm in third trimester pregnancy

• Main Authors: Samberkar, Prashant Naresh, Chow, Tak Kuan, Samberkar, Snehlata Prashant
• Format: Article
• Published: College of Pathologists, Academy of Medicine Malaysia 2018
• Subjects: R Medicine
• Online Access: http://eprints.um.edu.my/20788/; http://www.mjpath.org.my/2018/v40n3/spontaneous-rupture.pdf

Introduction: Unforeseen emergency in late pregnancy can be catastrophic and cause unexpected maternal and foetal demise. Moreover, lack of awareness and failure of prompt treatment raise mortality rate. Such fatalities warrant a forensic autopsy as it may raise redundant medico-legal concerns. Case Report: We report a case that revealed significant intra-abdominal haemorrhage at autopsy. The source of haemorrhage was at the spleen hilum and histology established rupture of splenic artery aneurysm. There was no associated obstetric cause found. Conclusion: Knowledge of spontaneous rupture of splenic artery aneurysm in late pregnancy is essential for monitoring maternal and foetal, morbidity and mortality. However, in the eventuality of death a comprehensive forensic autopsy is the only investigation to recognise such calamity and clear clinical confusion.