Abstract
Background:
The management of a pregnant patient with splenic injury needs to be individualized, and conservative management can be opted for in certain cases.
Case:
A 23-year-old, gravida 3, para2, live 2, woman at 17 weeks +5 days pregnancy presented with pain in her abdomen after a fall while working at home. An ultrasound of her abdomen highlighted a subcapsular splenic hematoma on the costal surface with a hemoperitoneum. She was managed conservatively with strict vital monitoring and blood transfusion and was discharged after 4 days.
Results:
The patient was able to continue her pregnancy and, at 39 weeks of gestation, delivered a healthy baby.
Conclusions:
Conservative management can be offered to hemodynamically stable pregnant patients with splenic injuries. (J GYNECOL SURG 36:147)
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