Splenic avulsion in pregnancy is a rare condition that carries a high
risk of death to both mother and fetus. The authors describe a 30-year
-old woman with hyperemesis who had spontaneous avulsion of the spleen
at 30 weeks' gestation. She underwent a splenectomy and cesarean sect
ion, resulting in a stillborn fetus. The authors theorize that violent
vomiting resulted in splenic avulsion. Prompt surgical intervention b
y a general surgeon and obstetrician is required in such cases.