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

Abstract

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.

Spontaneous post‐partum rupture of bilateral ovarian arteries treated with transarterial embolization

“…Some bleeds may occur initially during delivery and are only recognized if the bleed progresses and the patient becomes symptomatic. While bilateral ovarian artery aneurysms have been reported, the significance of this case is the coinciding spontaneous rupture of those bilateral ovarian arteries in the peripartum period …”

“…While bilateral ovarian artery aneurysms have been reported, 2 the significance of this case is the coinciding spontaneous rupture of those bilateral ovarian arteries in the peripartum period. [3][4][5][6][7][8][9][10][11][12][13][14] An increasing trend for ovarian artery rupture treatment with TAE has been observed given the generally accepted improved morbidity with this less invasive procedure over open surgical approaches. Observation is a viable option for a hemodynamically stable patient.…”

Dose-Decreasing Effect of the First Reversed Laser Beam Collimator for C-Arm Type Angiographic Equipment

“…Interventional angiography is a method of performing angiography that uses X-rays and contrast medium, enabling visualization of vascular and non-vascular structures (1). Many reports have been published in which percutaneous transluminal angioplasty (PTA) and endovascular stent placement were performed on patients with ischemic vascular disease (2345), embolization was performed on ruptured vasculature (678), and chemoport insertion was performed via a central catheter using interventional angiography. Based on those studies, we know that interventional angiography can be useful when treating a variety of diseases (91011).…”

Spontaneous Rupture of an Ovarian Artery Aneurysm: A Rare Postpartum Complication

“…Hence, early diagnosis and prompt treatment of a rupture arterial aneurysm are panacea for maximum chances of survival for the mother and baby [ 3 ]. The common presentation of spontaneous rupture of an ovarian artery aneurysm is abdominal pain in a multiparous woman during the early postpartum period and the probable time of rupture can be traced to the second stage of labor due to intense pushing [ 5 , 6 ]. Aneurysms of the ovarian artery have been reported in the literature infrequently [ 5 ].…”