Evidence map›Paper›PMID 39087445›Full record

SynthesisInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2025

Splenic vein rupture in pregnancy: A case report and systematic review of the literature.

Daniel Kane, John M Keaney, Elizabeth Tunney, Ronan Daly, Emma Doyle, John B Conneely, Conan McCaul, Michael Geary, Jennifer Donnelly, Claire M McCarthy

Abstract readSystematic ReviewCase Reports
In one paragraph

Synthesis in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Splenic vein rupture in pregnancy: A case report and systematic review of the literature.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Pooled it
  2. Spontaneous Splenic Vein Rupture: Case Report of a Rare Presentation.Clinical practice and cases in emergency medicine · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Daniel KaneDepartment of Obstetrics & Gynaecology, Royal College of Surgeons in Ireland, Rotunda Hospital, Dublin 1, Ireland.ORCID https://orcid.org/0000-0002-9523-4840
John M KeaneySchool of Medicine, Royal College of Surgeons in Ireland, St Stephens Green, Dublin 2, Ireland.
Elizabeth TunneyDepartment of Obstetrics & Gynaecology, Royal College of Surgeons in Ireland, Rotunda Hospital, Dublin 1, Ireland.ORCID https://orcid.org/0000-0002-2220-7622
Ronan DalyDepartment of Obstetrics & Gynaecology, Royal College of Surgeons in Ireland, Rotunda Hospital, Dublin 1, Ireland.
Emma DoyleDepartment of Pathology, Rotunda Hospital, Dublin, Ireland.
John B ConneelyDepartment of Surgery, Mater Misericordiae Hospital, Dublin, Ireland.
Conan McCaulDepartment of Anaesthesia, Rotunda Hospital, Dublin, Ireland.
Michael GearyDepartment of Obstetrics and Gynaecology, Rotunda Hospital, Dublin, Ireland.
Jennifer DonnellyDepartment of Obstetrics and Gynaecology, Rotunda Hospital, Dublin, Ireland.
Claire M McCarthyDepartment of Obstetrics and Gynaecology, Rotunda Hospital, Dublin, Ireland.ORCID https://orcid.org/0000-0001-8342-8050

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Splenic vein aneurysm (SVA) rupture is a rare clinical entity, with few case reports detailing its occurrence during pregnancy. We describe a case of a SVA rupture and present a systematic review of the literature in relation to splenic vein rupture, with or without aneurysm. Our case was of a 30-year-old woman, Para 4 at 37 weeks' gestation who presented with significant abdominal pain and subsequent maternal collapse. Massive intra-abdominal hemorrhage was identified, with splenic vessel rupture suspected. A splenectomy and partial pancreatectomy were performed along with massive blood product transfusion. There was both maternal and fetal survival with no long-term sequelae at follow-up. Histological examination of the spleen and its vessels noted a SVA rupture. In a subsequent systematic review of the literature, we identified 10 cases of splenic vein rupture with only two previously documented cases of SVA rupture in pregnancy. Maternal and fetal survival has only been reported in two cases of splenic vein rupture, with ours being a third.

Indexed as

SplenectomySplenic VeinAbdominal PainAdultAneurysm, RupturedFemaleHumansPancreatectomyPregnancyPregnancy Complications, CardiovascularRupture, Spontaneousaneurysmobstetricpregnancysplenic vein aneurysmsystematic review

Identifiers

PMID39087445
PMCPMC11649863

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.