Splenic Rupture After Sexual Intercourse in a Pregnant Woman: an Extremely Rare Case

Figures & data

Figure 1. Splenic rupture at the splenocolic ligament insertion (arrow).

Table 1. Comparison of characteristics of spleen ruptures cases with sexual intercourse.

	Stretton's case reported by Sparkman	Our case
Maternal age (years)	37	33
Term of pregnancy	5th month (week not specified)	36 weeks
Interval coitus-symptoms	2–3 h	20 min
Symptoms	Abdominal pain	Abdominal pain-recurrent collapse
Treatment	Splenectomy in 12 h	C-section splenorrhaphy in 40 min
Surgical exploration	Not described	Double tear in the colosplenic and gastrosplenic ligament insertion
Pregnancy outcome	Not described	Fetus delivered in cardiac arrest, resuscitated, discharged 18 days later
Maternal outcome	Lived	Lived

Data taken from [2].

Figure 2. The mechanism of splenic rupture in our case.

Arrows: traction on the splenocolic and gastrosplenic ligaments.

KocaelPC , SimsekO , BilginIAet al.Characteristics of patients with spontaneous splenic rupture. Int. Surg.99(6), 714–718 (2014).

 PubMed Web of Science ®Google Scholar