{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T21:41:09Z","timestamp":1789854069976,"version":"4.0.1"},"reference-count":13,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,2,28]]},"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>\n                    This case describes a 36\n                    <jats:sup>+6<\/jats:sup>\n                    weeks pregnant patient who presented with abdominal pain and rapidly developed haemorrhagic shock. Emergency laparotomy revealed a ruptured splenic artery aneurysm (SAA), requiring splenectomy. Her postoperative course was complicated by pulmonary embolism and acute kidney injury requiring long-term dialysis.\n                  <\/jats:p>\n                  <jats:p>While uterine rupture and placental abruption are common obstetric considerations in acute abdominal pain during pregnancy, this case highlights the importance of considering vascular pathologies such as SAA rupture, which carries high maternal and foetal mortality. Early recognition, prompt surgical intervention and multidisciplinary management are essential for improving outcomes in this rare but life-threatening condition. We aim to present a case of spontaneous rupture of SAA in pregnancy to raise awareness of this condition and emphasise the need for timely diagnosis, active resuscitation and management, including intensive treatment unit care and consideration of potential complications.<\/jats:p>","DOI":"10.1136\/bcr-2025-268747","type":"journal-article","created":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T16:50:14Z","timestamp":1773679814000},"page":"e268747","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Spontaneous splenic artery aneurysm rupture in a patient in late pregnancy: diagnostic challenges and management"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2907-3651","authenticated-orcid":false,"given":"Yovita","family":"Tjhin","sequence":"first","affiliation":[{"name":"General Surgery, West Middlesex University Hospital, Isleworth, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1709-9171","authenticated-orcid":false,"given":"Usman","family":"Khan","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, West Middlesex University Hospital, Isleworth, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4542-0434","authenticated-orcid":false,"given":"Fatimah","family":"Juma","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, West Middlesex University Hospital, Isleworth, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,3,16]]},"reference":[{"key":"2026062607551789000_19.3.e268747.1","doi-asserted-by":"publisher","DOI":"10.1007\/s10016-001-0207-4"},{"key":"2026062607551789000_19.3.e268747.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2007.08.002"},{"key":"2026062607551789000_19.3.e268747.3","doi-asserted-by":"crossref","first-page":"148","DOI":"10.15557\/JoU.2018.0021","article-title":"Visceral artery aneurysms \u2013 classification, diagnosis and treatmen","volume":"18","author":"Piasek","year":"2018","journal-title":"J Ultrason"},{"key":"2026062607551789000_19.3.e268747.4","doi-asserted-by":"crossref","first-page":"96","DOI":"10.7205\/MILMED-D-11-00252","article-title":"An Institutional Review of Splenic Artery Aneurysm in Childbearing-Aged Females and Splenic Artery Aneurysm Rupture During Pregnancy. Is Screening Justified?","volume":"177","author":"McMahon","year":"2012","journal-title":"Mil Med"},{"key":"2026062607551789000_19.3.e268747.5","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1016\/j.jvs.2023.11.065","article-title":"The natural history and long-term follow-up of splenic artery aneurysms","volume":"79","author":"Zhang","year":"2024","journal-title":"J Vasc Surg"},{"key":"2026062607551789000_19.3.e268747.6","doi-asserted-by":"crossref","first-page":"972","DOI":"10.1016\/j.jvir.2024.04.007","article-title":"The Natural History of Splenic Artery Aneurysms: Factors That Predict Aneurysm Growth","volume":"35","author":"An","year":"2024","journal-title":"J Vasc Interv Radiol"},{"key":"2026062607551789000_19.3.e268747.7","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-2300"},{"key":"2026062607551789000_19.3.e268747.8","unstructured":"Reducing the risk of venous thromboembolism during pregnancy and the puerperium green-top guideline no.37a. 2015."},{"key":"2026062607551789000_19.3.e268747.9","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.avsg.2023.03.029","article-title":"Women of Childbearing Age Have Higher Mortality Rates Following Inpatient Interventions for Splenic Artery Aneurysms","volume":"94","author":"Khoury","year":"2023","journal-title":"Ann Vasc Surg"},{"key":"2026062607551789000_19.3.e268747.10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/ijgo.14278","article-title":"Splenic artery aneurysm in pregnancy: A systematic review","volume":"160","author":"Aung","year":"2023","journal-title":"Intl J Gynecology & Obste"},{"key":"2026062607551789000_19.3.e268747.11","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1111\/ajo.13537","article-title":"Maternal deaths in Australia from ruptured splenic artery aneurysms","volume":"62","author":"Lawson","year":"2022","journal-title":"Aust N Z J Obstet Gynaecol"},{"key":"2026062607551789000_19.3.e268747.12","unstructured":"Knight M , Nair M , Tuffnell D , et al . Saving lives, improving mothers\u2019 care lessons learned to inform maternity care from the uk and ireland confidential enquiries into maternal deaths and morbidity 2013-15 maternal, newborn and infant clinical outcome review programme. 2017. Available: www.hqip.org.uk\/nationalprogrammes"},{"key":"2026062607551789000_19.3.e268747.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.08.108"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-268747","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T14:55:33Z","timestamp":1782485733000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-268747"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":13,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,3,16]]},"published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1136\/bcr-2025-268747"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-268747","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]}}}