Gebeliğin üçüncü üç aylık döneminde kendiliğinde gelişen dalak rüptürü: vaka sunumu

Kendiliğinden dalak rüptürü gebelikte nadir gözlenir fakat acil cerrahi müdahale gerektiren yaşamı tehdit eden bir komplikasyondur.  Bu makalede 28,4 haftalık gebede kendiliğinden gelişen dalak rüptürü vakası sunulmuştur. Erken tanı ve hızlı cerrahi müdahale anne ve bebeğin hayatını kurtarılabilir. Dalak rüptüründe şüphelenildiği zaman, bebek ve anne hayatı için acil eksploratif laparatomi - kanama yerini görebilmek ve ulaşmak için karın orta hat kesi ile yapılan - yapılması gerekir. Anahtar Kelimeler: Gebelik, kendiliğinden rüptür, dalak               

Nontraumatic spontaneous splenic rupture in the third trimester of pregnancy: a case report

Spontaneous splenic rupture in pregnancy is a rare but life-threatening complication requiring urgent surgical intervention. If it remains unrecognized, it can be fatal for both mother and baby. Herein, we present a case of spontaneous rupture of a normal spleen at 28.4 weeks gestation. Early diagnosis and aggressive surgical intervention can provide maternal and fetal survival. In case of a suspected splenic rupture, urgent exploratory laparotomy via a midline vertical incision to allow visualization of and access to bleeding location should be performed to save mother’s and baby’s lives. Key words: Pregnancy, rupture spontaneous, spleen

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