Serotonin Toxicity Syndrome in Pregnancy: Could the Values of Blood Gases be Affected?

Serotonin toxicity syndrome is a potentially life-threatening condition caused by excessive serotonergic activity in the nervous system. It is characterized by mental status changes, autonomic instability, and neuromuscular hyperactivity. Critically ill patients may require neuromuscular paralysis, sedation, and intubation. If serotonin syndrome is recognized and complications are managed appropriately, the prognosis is favorable. In the presented case clinical presentation and outcome of the serotonin syndrome which was developed in a 30-year-old pregnant woman with a medical history of depression managed by selective serotonin-noradrenaline reuptake inhibitors is discussed. This case is presented to inform physicians about our observations regarding the results of blood gases and to discuss our possible explanation

Spontaneous Rupture of Splenic Artery Aneurysm during the First Trimester of Pregnancy: Report of an Extremely Rare Case and Review of the Literature

Splenic artery aneurysm (SAA) occurs predominantly in women and the majority of them are asymptomatic until rupture. In cases of spontaneous rupture of an SAA, maternal and fetal mortality rates remain extremely high. Furthermore, the spontaneous ruptures of SAAs predominantly appear during the third trimester of pregnancy. We present the third known case of spontaneous SAA rupture during the first trimester of pregnancy, which manifested as sudden hypovolemic collapse and was successfully confronted with combined aggressive resuscitation and emergency surgical operation