BACKGROUND:

Splenic rupture is a very rare complication of pregnancy and puerperium, with extremely high maternal and fetal mortality. Maternal mortality reaches about 75% and fetal mortality up to 95%, complicating more frequently during the third trimester (69%) and rarely in the puerperium

CLINICAL CASE:

We present the case of a 37-year-old female patient with a 31.1-week pregnancy who was referred to our hospital for preeclampsia with severity data with biochemical alterations and difficult control of blood pressure figures. In the immediate postoperative period, the patient develops acute abdominal pain with free fluid in the abdominal ultrasound. This procedure is followed by an emergency laparotomy, with a lesion of approximately 3 cm in the lower pole and splenic hilum performing emergency splenectomy. The postoperative period was uneventful and the patient was discharged 8 days after surgery.

CONCLUSIONS:

The diagnosis and timely management of splenic rupture in the puerperium associated with Preeclampsia prevents maternal death.