Abstract:

Objective

To analyze the clinical manifestations，diagnosis and treatment process，maternal and fetal prognosis of spontaneous splenic rupture in pregnancy，and to summarize treatment experience.

Methods

A retrospective analysis was conducted on 5 pregnant patients with spontaneous splenic rupture who were registered and underwent routine prenatal examinations in our hospital from January 2018 to December 2023.Clinical parameters recorded and analyzed included：maternal age，gestational age at the time of splenic rupture，parity，medical history，pregnancy complications，previous delivery mode，presence of underlying diseases，clinical manifestations and auxiliary examination results，treatment process，and prognosis，respectively.

Results

Splenic rupture occurs in the second and third trimester of pregnancy，with sudden abdominal pain as the main symptom，and soon leading to varying degrees of shock.All 5 patients underwent emergency splenectomy and recovered well after surgery.Four cases underwent splenectomy and cesarean section simultaneously，of which one fetus died in the uterus.One case underwent simple splenectomy，and the fetus was delivered by cesarean section after full term pregnancy.

Conclusions

Spontaneous splenic rupture of pregnancy is prone to misdiagnosis.Pregnant women with a history of abdominal surgery in the second and third trimester of pregnancy exhibiting acute abdomen are demanded to consider the possibility of spontaneous splenic rupture.Treating shock promptly while exploring laparotomy urgently and splenectomy are performed to avoid maternal and fetal adverse prognosis.

Key words: Pregnancy, Spleen, Rupture,spontaneous, Diagnosis, Therapeutics