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  1. Microsuture repair of intra-operative ruptures of cerebral aneurysms of the internal carotid artery
    Vashu R, Tan S, Wong AS
    J Clin Neurosci, 2009 Jul;16(7):960-2.
    PMID: 19346131 DOI: 10.1016/j.jocn.2008.09.013
    We report on two patients with intra-operative rupture of cerebral aneurysms that were managed by microsuturing. This is one of only a few reports of successful direct repair using suturing. We found that stitching remains an option to repair a tear of a saccular part of an aneurysm and a torn neck of a blister-like aneurysm, and thus this technique can be considered before sacrificing the artery.
    Matched MeSH terms: Aneurysm, Ruptured/pathology*
  2. 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: Aneurysm, Ruptured/pathology*
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