{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T16:44:49Z","timestamp":1726505089096},"reference-count":5,"publisher":"California Digital Library (CDL)","issue":"3","license":[{"start":{"date-parts":[[2020,7,14]],"date-time":"2020-07-14T00:00:00Z","timestamp":1594684800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Case Presentation: A 33-year-old gravid female was brought to the emergency department after she collapsed in the street. Point-of-care ultrasound showed free fluid in the abdomen and confirmed an intrauterine pregnancy. Surgical teams were consulted, and cross-sectional imaging revealed a spontaneously ruptured splenic artery aneurysm (SAA). The patient was taken expeditiously to the operating room for splenic artery ligation and subsequent splenectomy.\n\nDiscussion: Ruptured SAA in pregnant patients is associated with significant mortality for both mother and fetus. Maintaining a high index of suspicion in the correct population is crucial to avoid diagnostic errors and provide definitive care with operative repair.<\/jats:p>","DOI":"10.5811\/cpcem.2020.5.46948","type":"journal-article","created":{"date-parts":[[2020,8,13]],"date-time":"2020-08-13T17:23:27Z","timestamp":1597339407000},"page":"478-479","source":"Crossref","is-referenced-by-count":0,"title":["Rare Cause of Syncope in a Gravid Female"],"prefix":"10.5811","volume":"4","author":[{"given":"Andrew","family":"Bellino","sequence":"first","affiliation":[{"name":"Stanford University School of Medicine, Emergency Medicine Residency Program, Stanford, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Staats","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine, Department of Emergency Medicine, Stanford, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Ngo","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine, Department of Emergency Medicine, Stanford, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2020,7,14]]},"reference":[{"doi-asserted-by":"crossref","unstructured":"Berceli S. Hepatic and Splenic artery aneurysms. Semin Vasc Surg. 2005;18(4):196-201.","key":"ref0","DOI":"10.1053\/j.semvascsurg.2005.09.005"},{"doi-asserted-by":"crossref","unstructured":"Abbas MA, Stone WM, Fowl RJ, et al. Splenic artery aneurysm: two decades experience at Mayo Clinic. Ann Vasc Surg. 2002;16(4):442-9.","key":"ref1","DOI":"10.1007\/s10016-001-0207-4"},{"doi-asserted-by":"publisher","unstructured":"Hogendoorn W, Lavida A, Hunink MGM, et al. Open repair, endovascular repair, and conservative management of true splenic artery aneurysms. J Vasc Surg. 2014;60(6):1667-76.","key":"ref2","DOI":"10.1016\/j.jvs.2014.08.067"},{"doi-asserted-by":"publisher","unstructured":"Ha JF, Phillips M, Faulkner K. Splenic artery aneurysm rupture in pregnancy. Euro J Obstetrics & Gyn Reprod Bio. 2009;146(2):133-7.","key":"ref3","DOI":"10.1016\/j.ejogrb.2009.05.034"},{"doi-asserted-by":"publisher","unstructured":"Hillemanns P, Knitza R, M\u00fcller-H\u00f6cker J. Rupture of splenic artery aneurysm in a pregnant patient with portal hypertension. Am J Obstet Gynecol. 1996;174(5):1665-6.","key":"ref4","DOI":"10.1016\/s0002-9378(96)70632-4"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T19:17:19Z","timestamp":1600283839000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/1wv700zx"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,14]]},"references-count":5,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020,8,6]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.5.46948","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2020,7,14]]}}}