Grk. Fender et al., Management of splenic artery aneurysm rupture during trial of scar with epidural analgesia, AM J OBST G, 180(4), 1999, pp. 1038-1039
We report a case of ruptured splenic artery aneurysm during labor in which
the clinical signs were masked by epidural analgesia. A high index of clini
cal suspicion must be maintained in cases of atypical epidural breakthrough
pain, and attending clinicians must be prepared for the unexpected when fa
ced with a maternal collapse.