TITLE:
Case Report: Splenic Rupture Post-Caesarean Section
AUTHORS:
Manal Abdulrahman Ajina, Hisham Abid Aldabbagh, Mohammed Abd Elbagi, Bright Ikponmwosa Arhumwund, Eid Hmoud Alkhaldi, Hanan Mansour Alanazi, Yasmin Muhammad Alanezi, Sajedul Kabir Chowdhury, Haidelyn Gumatay Castro, Nasaym Awadh Alazmi, Latifah Ibrahim Alatawi, Adbalrhman Hisham Aldabbagh
KEYWORDS:
Pregnancy, Caesarean, Section, Splenectomy, Splenic Rupture
JOURNAL NAME:
Open Journal of Nursing,
Vol.15 No.10,
October
14,
2025
ABSTRACT: A 28 years old Female, G6 P4+1 Previous 1 CS, 37 weeks, twins’ pregnancy, was planned for Caesarian section (CS) on 26/1/2025. Background: G6 P4+1 Previous 1 CS, 37 weeks, twins’ pregnancy. No past medical history. Aim: We present and discuss a case of Splenic Rupture Post-Caesarean Section from all sides; clinically, and surgically, to detect all correlating items for learning and for possible prevention of such cases. Case in Future Presentation: On 26/1/2025, under spinal anesthesia, Caesarian section (CS) was completed at 12:30 PM without any complication. On 26/1/2025, at 22:30, the patient complained acute chest pain and difficulty in breathing, given bronchodilator nebulizer, with oxygen through facial mask. On 26/1/2025, at 22:55, the patient condition deteriorated; hypotension, tachycardia with dropping of hemoglobin from 10 to 6.7 gram/dl, shifted to operation room for exploration. Exploratory laparotomy showed active bleeding from a partially avulsed splenic hilum area. Splenectomy was done and hemostasis secured. The patient was shifted to ICU after the second operation for close monitoring, and ICU care, kept in ICU for 2 days, then shifted back to OBW on 28/01/2025 after good stabilization of her condition. On 04/02/2025, the patient was discharged home in a stable condition. Spleen Biopsy: Histopathological features are consistent with splenic tissue showing vascular congestion and areas of hemorrhage. The findings rule out underlying pathology. Conclusion: This case underscores the importance of maintaining a high index of suspicion for abdominal complications post-delivery, even in the absence of traumatic or predisposing factors. Clinicians should be aware of such rare complications and consider them in differential diagnoses to ensure prompt and effective treatment.