Postpartum ovarian artery rupture with retroperitoneal hemorrhage

Mojab, K; Rodríguez, J

doi:10.2214/ajr.128.4.695

Cited by 8 publications

(5 citation statements)

References 1 publication

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“…As aforementioned, most cases of ruptured ovarian artery aneurysms occurred in the peripartum period, and the treatment of 15 cases was through open surgery. 5 –10,14,15,17,21,22 Arterial embolization has emerged as an alternative therapy for patients who are hemodynamically stable, as it turned out in our case. But in pregnant women, the decision surrounding appropriateness of endovascular versus open surgical approaches the age of pregnancy must be taken into account.…”

Section: Discussionmentioning

confidence: 61%

“…2,3 Our review of the literature included a total of 25 cases of ovarian artery aneurysms and 3 patients with involvement of testicular arteries; the age of all patients ranged from 23 to 91 years. In the female gender, 18 cases were reported during the peripartum period 1,4 –20 and 6 were unrelated to pregnancy. 2,21 –25 The clinical manifestations are unspecific; and in the majority of cases, the formation of a retroperitoneal hematoma causes abdominal and flank pain, so rupture should be ruled out during the peripartum period in the presence of flank pain.…”

Section: Discussionmentioning

confidence: 99%

“…2,21 –25 The clinical manifestations are unspecific; and in the majority of cases, the formation of a retroperitoneal hematoma causes abdominal and flank pain, so rupture should be ruled out during the peripartum period in the presence of flank pain. 1,3 –20…”

Section: Discussionmentioning

confidence: 99%

“…1,2,3 As many artery aneurysms, those that developed in ovarian arteries may be symptomatic until they rupture, leading to an important retroperitoneal bleeding. 1,2,4 Most available reports in the literature concerning ovarian artery aneurysms are related to rupture during the peripartum period, 1,5 –20 and with less frequency in nonpregnant women. 2,21 –25 On the other hand, aneurysms in the testicular artery have been described in 3 cases in the male gender.…”

Section: Introductionmentioning

confidence: 99%

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Successful Embolization of a Ruptured Ovarian Artery Aneurysm in a Postmenopausal Woman: Case Report and Literature Review of Gonadal Artery Aneurysms

García-Alva

Guerrero‐Hernández

Anaya‐Ayala

et al. 2017

Vasc Endovascular Surg

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Gonadal artery aneurysms (GADs) are extremely rare; their prevalence and natural history are unknown and their pathogenesis remains poorly understood. Based on the limited literature reports, these might present with rupture (ovarian artery) or pain and acute thrombosis (testicular artery). The present article reports the case of an 80-year-old woman who came to the emergency department (ED) with acute onset of abdominal and left flank pain. A computed tomography angiography (CTA) revealed a large retroperitoneal hematoma associated with the presence of a left ovarian artery aneurysm. The patient was taken to the angiography suite for a selective vessel catheterization and embolization with N-butyl-2-cyanoacrylate (NBCA). Following the procedure, her serial hemoglobin remained stable, her symptoms subsided, and she was discharged home 2 days later. The GADs are unrecognized entities until an acute event such as rupture occurs, and vessel embolization is effective for hemorrhage control. Close communication and collaboration with gynecologists and urologists are crucial to better define the prevalence, natural history, and the appropriate behavior and timing for elective treatment. With this article, the authors additionally present a review of the literature.

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Successful Embolization of a Ruptured Ovarian Artery Aneurysm in a Postmenopausal Woman: Case Report and Literature Review of Gonadal Artery Aneurysms

García-Alva

Guerrero‐Hernández

Anaya‐Ayala

et al. 2017

Vasc Endovascular Surg

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“…The spontaneous rupture of an ovarian artery aneurysm is extremely rare. Our review of the published work revealed 21 cases of ovarian artery aneurysm dating back to 1963, as shown in Table . The age of the subjects ranged from 23 to 69 years, and 14 of the 21 cases were associated with pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Embolization for post‐partum rupture of ovarian artery aneurysm: Case report and review

Sakaguchi

Ohba

Ikeda

et al. 2014

J of Obstet and Gynaecol

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Spontaneous rupture of an ovarian artery aneurysm most commonly presents with abdominal pain in a multiparous woman in the early post-partum period. Aneurysms of the ovarian artery have been reported in the published work very infrequently. In our case, a 31-year-old multiparous woman experienced sudden left lower quadrant abdominal pain on the second post-partum day. Angiography showed rupture of a left ovarian artery aneurysm, which was successfully embolized using gelatin sponge particles. The patient resumed menstruation 3 months after the embolization and concurrently conceived, ultimately giving birth at term without complications. Interventional radiology appears to be a highly safe and effective technique for diagnosis and management of a ruptured ovarian artery aneurysm with minimal risk of impairing subsequent fertility.

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