ABSTRACT : Splenic rupture during pregnancy is a rare senario, judicious use of drugs &dicussion with other specialities is important for managing such cases

METHODS : A 32 week pregnant lady brought to the hospital with history of accidental fall followed by severe abdominal pain. On ultrasonography findings of spleen rupture were detected. So Patient was posted for emergency spleenectomy.

Challenges in this case were continuation of pregnancy (as pregnancy was not full term, full stomach), and acute blood loss. Along with the routine consent, consent for premature labor and if required emergency LSCS was explained to the patient and relatives. Three pints of blood, 2 FFPs, 2 platelets kept ready.

Patient induced with inj. Pentothal Na, relaxed with injRocuronium, rapid sequence induction done and patient intubated with 7 mm ETT. Injisoxsuprine given in drip before starting anesthesia and continued till 24 hours after surgery.Patient extubated uneventfully. During intraoperative period 2 pint blood transfusion was given.

During intraoperative period FHS monitored with stethoscope, at the end of surgery FHS confirmed with USG. Patient shifted to ICU for monitoring, after 24 hrs patient shifted to ward.

RESULTS : The case was managed uneventfuly , postoperatively FHS +

CONCLUSIONS : With judicious use of drugs & discussion with related faculties we can manage rare cases