Spontaneous rupture of a splenic artery aneurysm as a cause of a critical obstetric condition in a woman whose pregnancy was complicated by acute coronavirus infection (COVID-19)
Voropaeva E.E., Alieva A.A., Khaidukova Yu.V., Ishchenko L.S., Kazachkov E.L., Kazachkova E.A.
Background: Ruptured splenic artery aneurysm in pregnant women is one of the causes of near miss events, maternal death and antenatal fetal death. The diagnosis of ruptured splenic artery aneurysm in pregnancy can be challenging, therefore it is important to analyze each case to prevent adverse outcomes.
Case report: The article presents a description and analysis of a clinical case of ruptured splenic artery aneurysm with massive blood loss in a pregnant woman at 36–37 weeks’ gestation. It is the case of dichorionic diamniotic twin pregnancy complicated by moderate COVID-19. The medical team consisting of experts in obstetrics and gynecology, surgery, anesthesiology, intensive care, and transfusion medicine, promptly provided emergency medical assistance, resulting in a successful outcome.
Conclusion: It is necessary to remember about the spontaneous rupture of a splenic artery aneurysm as one of the likely causes of intra-abdominal bleeding in women during pregnancy, childbirth and the postpartum period.
Authors’ contributions: Voropaeva E.E., Alieva A.A., Khaidukova Yu.V. – collecting and processing the material; Ishchenko L.S., Voropaeva E.E., Kazachkov E.L. – analysis of the obtained data, writing the article; Kazachkov E.L. – review of publications on the subject of the article; Kazachkova E.A. – editing the article.
Conflicts of interest: The authors declare no possible conflicts of interest.
Funding: The study was conducted without sponsorship.
Ethical Approval: The study was approved by the Ethical Review Board of the South Ural State Medical University, Ministry of Health of Russia.
Patient Consent for Publication: The patient signed an informed consent to provide information about herself for scientific purposes.
For citation: Voropaeva E.E., Alieva A.A., Khaidukova Yu.V., Ishchenko L.S., Kazachkov E.L., Kazachkova E.A. Spontaneous rupture of a splenic artery aneurysm as a cause of a critical obstetric condition in
a woman whose pregnancy was complicated by acute coronavirus infection (COVID-19).
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2025; (11): 182-189 (in Russian)
https://dx.doi.org/10.18565/aig.2025.08
Keywords
References
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Received 09.04.2025
Accepted 25.06.2025
About the Authors
Ekaterina E. Voropaeva, Dr. Med. Sci., Professor, Professor at the Department of Pathological Anatomy and Forensic Medicine, South Ural State Medical University,Ministry of Health of Russia, 64 Vorovsky str., Chelyabinsk, 454000, Russia; Deputy Chief Physician for Obstetrics and Gynecology, Regional Clinical Hospital No. 2,
18 Gagarina str., Chelyabinsk, 454000, Russia, +7(351)217-70-42, katya_voropaeva@mail.ru, https://orcid.org/0000-0002-9405-0134
Alina A. Alieva, PhD student at the Department of Pathological Anatomy and Forensic Medicine, South Ural State Medical University, Ministry of Health of Russia,
64 Vorovsky str., Chelyabinsk, 454000, Russia, +7(952)506-09-20, alievaa.ak@mail.ru, https://orcid.org/0000-0001-6270-8707
Yulia V. Khaydukova, Head of the 2nd Obstetric Department, Regional Clinical Hospital No. 2, 18 Gagarina str., Chelyabinsk, 454000, Russia, +7(351)217-70-42,
jumi.06@mail.ru, https://orcid.org/0000-0001-8751-7149
Lyudmila S. Ishchenko, PhD, Associate Professor, Associate Professor at the Department of Obstetrics and Gynecology, South Ural State Medical University,
Ministry of Health of Russia, 64 Vorovsky str., Chelyabinsk, 454000, Russia; obstetrician-gynecologist, Regional Clinical Hospital No. 2, 18 Gagarina str., Chelyabinsk,
454000, Russia, +7(919)352-91-14, lyudalyn@mail.ru, https://orcid.org/0000-0002-9405-0134
Evgeny L. Kazachkov, Dr. Med. Sci., Professor, Head of the Department of Pathological Anatomy and Forensic Medicine, South Ural State Medical University,
Ministry of Health of Russia, 64 Vorovsky str., Chelyabinsk, 454000, Russia, +7(351)232-01-45, doctorkel@yandex.ru, https://orcid.org/0000-0002-4512-3421
Ella A. Kazachkova, Dr. Med. Sci., Professor, Professor at the Department of Obstetrics and Gynecology, South Ural State Medical University, Ministry of Health of Russia,
64 Vorovsky str., Chelyabinsk, 454000, Russia, +7(912)478-62-90, kazachkovaea@yandex.ru, https://orcid.org/0000-0002-1672-7058
Corresponding author: Lyudmila S. Ishchenko, lyudalyn@mail.ru



