Ruptured Splenic Artery Aneurysm and Pregnancy

Summary: Four cases of bleeding from the splenic artery associated with pregnancy are presented. Rupture of a splenic artery aneurysm is a rare and extremely dangerous condition and the premonitory symptoms, if any, are common in pregnancy and easily dismissed. Initial collapse is often transient and may be followed by apparent recovery, giving a false sense of security. Successful treatment depends on recognition, restoration of blood volume, and ligation of the bleeding artery. Exploration of the abdomen is essential in any patient with suspected intra‐abdominal bleeding.