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Indian Journal of Maternal-Fetal & Neonatal Medicine 2(1):p 43-45, Jan-Jun 2015. | DOI: DOI: https://dx.doi.org/10.21088/ijmfnm.2347.999X.2115.8
Review Article
A Successful Pregnancy Outcome: In a Case of Massive Splenomegaly “Case Reportâ€
Ashalata Bafna* , Ashalata Bafna* , Barkha Bafna** , Amit Bafna***
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Indian Journal of Maternal-Fetal & Neonatal Medicine 2(1):p 43-45, Jan-Jun 2015. | DOI: DOI: https://dx.doi.org/10.21088/ijmfnm.2347.999X.2115.8
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Abstract
Background: Splenomegaly with an incidence of 2-5 % is a challenging medical problem. Splenomegaly in pregnancy presents a further testing situation. The diagnosis especially during advanced gestation becomes difficult by clinical examination. Risk of splenic rupture may increase during pregnancy due to several physiological and mechanical reasons. Anaemia which is frequent association with splenomegaly is an important medical condition of pregnancy. Case Report: This is a special case report of a woman with massive splenomegaly who was managed through both her pregnancies. Though our patient did not face life threatening splenic rupture during both her pregnancies, but we found association of massive spleen with fetal growth restriction and aggravation of pre-existing anaemia requiring more blood components during her first pregnancy. Conclusion: Massive splenomegaly with pregnancy should be considered as high risk pregnancy and tackled with a multidisciplinary approach to achieve safe motherhood.
Keywords: Pregnancy; Splenomegaly; Splenic Rupture.
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DOI: DOI: https://dx.doi.org/10.21088/ijmfnm.2347.999X.2115.8
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