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Postpartum splenic rupture: a possible iatrogenic event, but finalized with successful conservation of the spleen
D. Socolov1,*, A. Pantazescu2, R. Socolov1, A. Carauleanu1, C. Ilea1, I. Anghelache Lupascu1, E. Gologan1
1 University of Medicine and Pharmacy Gr. T. Popa, Iasi; 2 Regional Institute of Oncology, Iasi (Romania)
Clin. Exp. Obstet. Gynecol. 2016, 43(4), 619–620; https://doi.org/10.12891/ceog3120.2016
Published: 10 August 2016
The authors present the case of a postpartum splenic rupture induced probably by iatrogenic injury (recent vaginal delivery with a prolonged expulsion with uterine fundus compression) including the left hypochondria region costal grid. The case was solved with splenic preservation and achieving hemostasis only by local plugging and Gelaspon. The case raised also other problems regarding the etiology of splenic rupture, in establishing a causal relationship between a intrapartum splenic injury, and the three episodes of inferior genital tract hemorrhaging, in establishing the cause of the infectious syndrome from the 24thpostpartum day, (parietal infection or splenic abscess requiring splenectomy).
Postpartum splenic rupture
Ruptured spleen preservation