{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T14:36:53Z","timestamp":1773067013068,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Splenic vein aneurysm (SVA) rupture is a rare clinical entity, with few case reports detailing its occurrence during pregnancy. We describe a case of a SVA rupture and present a systematic review of the literature in relation to splenic vein rupture, with or without aneurysm. Our case was of a 30\u2010year\u2010old woman, Para 4 at 37\u2009weeks' gestation who presented with significant abdominal pain and subsequent maternal collapse. Massive intra\u2010abdominal hemorrhage was identified, with splenic vessel rupture suspected. A splenectomy and partial pancreatectomy were performed along with massive blood product transfusion. There was both maternal and fetal survival with no long\u2010term sequelae at follow\u2010up. Histological examination of the spleen and its vessels noted a SVA rupture. In a subsequent systematic review of the literature, we identified 10 cases of splenic vein rupture with only two previously documented cases of SVA rupture in pregnancy. Maternal and fetal survival has only been reported in two cases of splenic vein rupture, with ours being a third.<\/jats:p>","DOI":"10.1002\/ijgo.15842","type":"journal-article","created":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T11:34:52Z","timestamp":1722512092000},"page":"63-68","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Splenic vein rupture in pregnancy: A case report and systematic review of the literature"],"prefix":"10.1002","volume":"168","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9523-4840","authenticated-orcid":false,"given":"Daniel","family":"Kane","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology Royal College of Surgeons in Ireland, Rotunda Hospital  Dublin 1 Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John M.","family":"Keaney","sequence":"additional","affiliation":[{"name":"School of Medicine, Royal College of Surgeons in Ireland, St Stephens Green  Dublin 2 Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2220-7622","authenticated-orcid":false,"given":"Elizabeth","family":"Tunney","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology Royal College of Surgeons in Ireland, Rotunda Hospital  Dublin 1 Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronan","family":"Daly","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology Royal College of Surgeons in Ireland, Rotunda Hospital  Dublin 1 Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Doyle","sequence":"additional","affiliation":[{"name":"Department of Pathology Rotunda Hospital  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John B.","family":"Conneely","sequence":"additional","affiliation":[{"name":"Department of Surgery Mater Misericordiae Hospital  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Conan","family":"McCaul","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Rotunda Hospital  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Geary","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Rotunda Hospital  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Donnelly","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Rotunda Hospital  Dublin Ireland"},{"name":"School of Medicine, University College Dublin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8342-8050","authenticated-orcid":false,"given":"Claire M.","family":"McCarthy","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Rotunda Hospital  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14431"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v8.i14.3074"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14278"},{"issue":"6","key":"e_1_2_10_5_1","first-page":"170","article-title":"Aneurysm of the splenic vein; report of a case","volume":"12","author":"Loewenthal M","year":"1953","journal-title":"Acta Med Orient"},{"key":"e_1_2_10_6_1","first-page":"1823","article-title":"Splenic vein rupture during pregnancy following acute pancreatic necrosis","volume":"81","author":"Rahn J","year":"1959","journal-title":"Zentralbl Gynakol"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2008.01.019"},{"issue":"2","key":"e_1_2_10_8_1","first-page":"64","article-title":"Spontaneous rupture of the splenic vein in pregnancy","volume":"91","author":"Madhavan P","year":"1998","journal-title":"Ir Med J"},{"key":"e_1_2_10_9_1","first-page":"1370","article-title":"Thrombosis and rupture of the splenic vein in\" acute obstetrical hypercoagulemic syndrome\"","volume":"83","author":"Puder H","year":"1961","journal-title":"Zentralblatt Fur Gynakologie"},{"key":"e_1_2_10_10_1","first-page":"137","article-title":"Rupture of the splenic vein and pancreatic necrosis in pregnancy","volume":"84","author":"Friebel HG","year":"1962","journal-title":"Zentralbl Gynakol"},{"issue":"2","key":"e_1_2_10_11_1","first-page":"151","article-title":"Splenic arterial aneurysm rupturing into the splenic vein. 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