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  1. Laparoscopic splenic artery ligation in a patient with immune thrombocytopenia with intracranial haemorrhage (two clips that stopped a timebomb)
    Chan YQ, Lee ZM, Tan SL
    Med J Malaysia, 2020 07;75(4):433-435.
    PMID: 32724010
    Intracranial haemorrhage (ICH) in a patient with relapse of idiopathic thrombocytopaenic purpura (ITP) can be lethal. The site of haemorrhage, compounded by low platelets in this disease, makes its management extremely challenging, especially when a neurosurgical procedure is warranted. We report a case report of an unconventional way of increasing platelet counts in ITP rapidly in an emergency setting.
    Matched MeSH terms: Splenic Artery/physiopathology*; Splenic Artery/surgery*
  2. Post partum splenic artery aneurysm rupture
    Asokan S, Chew EK, Ng KY, Thanaletchimy N, Asmiati A, Kong NM
    J Obstet Gynaecol Res, 2000 Jun;26(3):199-201.
    PMID: 10932982
    Ruptured splenic artery aneurysm during pregnancy is a rare event with high maternal and fetal mortality rate. A case of ruptured splenic artery aneurysm in the post partum period is presented. The literature is reviewed on pathophysiology, clinical presentation and management of this rare and potentially fatal entity.
    Matched MeSH terms: Splenic Artery*
  3. Fatal spontaneous rupture of splenic artery aneurysm in third trimester pregnancy
    Samberkar PN, Chow TK, Samberkar SP
    Malays J Pathol, 2018 Dec;40(3):337-341.
    PMID: 30580366
    INTRODUCTION: Unforeseen emergency in late pregnancy can be catastrophic and cause unexpected maternal and foetal demise. Moreover, lack of awareness and failure of prompt treatment raise mortality rate. Such fatalities warrant a forensic autopsy as it may raise redundant medico-legal concerns.

    CASE REPORT: We report a case that revealed significant intra-abdominal haemorrhage at autopsy. The source of haemorrhage was at the spleen hilum and histology established rupture of splenic artery aneurysm. There was no associated obstetric cause found.

    CONCLUSION: Knowledge of spontaneous rupture of splenic artery aneurysm in late pregnancy is essential for monitoring maternal and foetal, morbidity and mortality. However, in the eventuality of death a comprehensive forensic autopsy is the only investigation to recognise such calamity and clear clinical confusion.

    Matched MeSH terms: Splenic Artery/pathology*
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