Skip to main content
Log in

First report of an unusual, rare complication of pregnancy: rupture of multiple lienal vein aneurysms

  • Case Report
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Lienal vein aneurysms are a very unusual pathology. Usually they are extremely rare incidental findings, associated with many diseases as hepatic cirrhosis, portal hypertension and other conditions as pregnancy. We report here the case of death of a mother and her fetus at the third trimester of her third pregnancy due to haemoperytoneum for rupture of aneurysm. The autoptic examination revealed the presence of three fusiform and saccular aneurysms of the lineal vein. The histopathological features of aneurysms’ wall are described. The aetiopathogenetic hypothesis of the lesion is discussed. To our knowledge this is the first case report describing the sudden death of pregnant woman and fetus from a rupture of maternal lineal vein aneurysm, complication of multiple aneurysms.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

References

  1. Lowenthal M, Jacob H (1953) Aneurysm of splenic vein. Report of a case. Acta Med Orient (Tel Aviv) 12:170–174

    Google Scholar 

  2. Calligaro KD, Ahmed S, Dandora R et al (1995) Venous aneurysms: surgical indication and review of the literature. Surgery 117:1–6

    Article  PubMed  CAS  Google Scholar 

  3. Ohhira M, Ono M, Ohhira M, Matsumoto A, Ohta H, Namiki M (1994) Case report: splenic vein aneurysm—report of a lesion that progressively expanded. Br J Radiol 67:656–658

    Article  PubMed  CAS  Google Scholar 

  4. Shimoda M, Kubota K, Sakuma A, Hogami T, Yamaguchi Y, Tagaya N (2003) Intra-abdominal hemorrhage due to rupture of a splenic vein aneurysm: a case report. J Gastrointest Surg 7(5):683–686

    Article  PubMed  Google Scholar 

  5. Tanchev S, Popova M, Slavov I (1992) The “splenic emergency syndrome” during pregnancy (a report of 2 cases. Aush Ginekol (Sofiia) 31(1):32–34

    CAS  Google Scholar 

  6. Bronstein R, Morin P (1975) Splenic emergencies and pregnancy. J Chir (Paris) 109(1):63–74

    CAS  Google Scholar 

  7. Koskela O (1965) Rupture of the spleen complicating pregnancy. Ann Chir Gynaecol Fenn 54:107–113

    PubMed  CAS  Google Scholar 

  8. Newman B, Gaal GZ, Jackson E (1963) Spontaneous rupture of the splenic vein during pregnancy. South Med J 56:11–13

    PubMed  CAS  Google Scholar 

  9. Eckerling B, Goldman JA, Yado S (1962) Spontaneous rupture of the splenic vein in pregnancy with massive retro- and intraperitoneal hemorrhage. Am J Surg 103:836–839

    Article  PubMed  CAS  Google Scholar 

  10. Friebel HG (1962) Rupture of the splenic vein and pancreatic necrosis in pregnancy, vol 84. Zentralbl Gynakol, 27 January 1962, pp 137–145

  11. Puder H (1961) Thrombosis and rupture of the splenic vein in “acute obstetrical hypercoagulemic syndrome”, vol 83. Zentralbl Gynakol, 26 August 1961, pp 1370–1375

  12. Trastek VF, Pairolero PC, Joyce JW, Hollier LH, Bernatz PE (1982) Splenic artery aneurysms. Surgery 91:694–699

    PubMed  CAS  Google Scholar 

  13. Carr SC, Mahvi DM, Hoch JR, Archer CW, Turnipseed D (2001) Visceral artery aneurysm rupture. J Vasc Surg 33:806–811

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to L. Morelli.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Morelli, L., Pusiol, T., Parolari, A.M. et al. First report of an unusual, rare complication of pregnancy: rupture of multiple lienal vein aneurysms. Arch Gynecol Obstet 275, 275–277 (2007). https://doi.org/10.1007/s00404-006-0231-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-006-0231-2

Keywords

Navigation