Splenic injury caused by abdominal trauma during pregnancy is rare. Splenic
injury associated with fetal death in utero following a fall from a tree top is
even rarer. The authors report a case of splenic trauma associated with fetal
death in utero following a fall from the top of a tree in a 19-year-old pregnant
woman at 30 weeks amenorrhoea. She was referred from a 1st level health facility
for trauma that had occurred the day before admission. She was in poor
general condition (WHO performance status IV) and had a cardiovascular
collapse. Ultrasound was used to diagnose haemoperitoneum and fetal death
in utero. A CT scan was used to diagnose splenic lesions. Treatment consisted
of splenectomy and caesarean section after resuscitation.

Trauma, Pregnancy, Splenic Rupture, Stillborn