Spontaneous Splenic Artery Pseudoaneurysm Rupture Causing Hemorrhagic Shock.

Splenic artery pseudoaneurysm (SAP) is an uncommon etiology of acute abdominal pain, requiring a high degree of clinical suspicion to diagnose in a timely manner. There are currently no reports of spontaneous SAP ruptures in the emergency medicine literature. We report a case of a man who presented with acute abdominal pain secondary to an SAP.

Disseminated Gestational Trophoblastic Disease and Diffuse Alveolar Hemorrhage Treated With Extracorporeal Membrane Oxygenation.

Late-stage gestational trophoblastic disease (GTD) bears poor prognosis including acute respiratory distress syndrome (ARDS), multiorgan failure, and death. There are currently no reports of extracorporeal membrane oxygenation (ECMO) therapy for respiratory failure due to disseminated GTD in post-partum patients. We present a case of newly diagnosed disseminated GTD progressing to ARDS secondary to diffuse alveolar hemorrhage (DAH) for which veno-venous ECMO was successfully implemented.