Spontaneous post-partum rupture of an ovarian artery aneurysm: A case report of successful embolization and a review of the published work

Shoko Wakimoto, Nobuhiro Hidaka, Kotaro Fukushima, Kiyoko Kato

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Abstract It is rare for an ovarian artery aneurysm to rupture during the peripartum period, but the outcome can be catastrophic. Between 1980 and 2013, only nine cases have been reported in the English-language medical published work. We describe a patient with a left ovarian artery aneurysm that ruptured 4 days after an uneventful vaginal delivery. The rupture was immediately identified, using emergent computed tomography and angiography. The hemorrhage was managed using arterial embolization and blood transfusion, allowing for a successful outcome. The possibility of ruptured ovarian artery aneurysm should be considered in the differential diagnosis for women with excessive or localized abdominal pain after childbirth.

Original languageEnglish
Pages (from-to)456-459
Number of pages4
JournalJournal of Obstetrics and Gynaecology Research
Volume41
Issue number3
DOIs
Publication statusPublished - Mar 1 2015

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Aneurysm
Rupture
Arteries
Peripartum Period
Ruptured Aneurysm
Blood Transfusion
Abdominal Pain
Differential Diagnosis
Language
Parturition
Hemorrhage
Computed Tomography Angiography

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

Cite this

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AU - Fukushima, Kotaro

AU - Kato, Kiyoko

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N2 - Abstract It is rare for an ovarian artery aneurysm to rupture during the peripartum period, but the outcome can be catastrophic. Between 1980 and 2013, only nine cases have been reported in the English-language medical published work. We describe a patient with a left ovarian artery aneurysm that ruptured 4 days after an uneventful vaginal delivery. The rupture was immediately identified, using emergent computed tomography and angiography. The hemorrhage was managed using arterial embolization and blood transfusion, allowing for a successful outcome. The possibility of ruptured ovarian artery aneurysm should be considered in the differential diagnosis for women with excessive or localized abdominal pain after childbirth.

AB - Abstract It is rare for an ovarian artery aneurysm to rupture during the peripartum period, but the outcome can be catastrophic. Between 1980 and 2013, only nine cases have been reported in the English-language medical published work. We describe a patient with a left ovarian artery aneurysm that ruptured 4 days after an uneventful vaginal delivery. The rupture was immediately identified, using emergent computed tomography and angiography. The hemorrhage was managed using arterial embolization and blood transfusion, allowing for a successful outcome. The possibility of ruptured ovarian artery aneurysm should be considered in the differential diagnosis for women with excessive or localized abdominal pain after childbirth.

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