title: Spontaneous rupture of aneurysms of the ovarian artery at times remote from pregnancy.
abstract: Spontaneous rupture of an aneurysm of the ovarian artery is usually considered a rare complication of pregnancy and the puerperium. However, we observed this emergent condition in a 51-year-old postmenopausal woman. We report here our experiences and consider lessons about diagnosis and management that can be drawn from this case and 5 other published cases in multiparous middle-aged women. These lessons include application of contrast-enhanced computed tomography to focus emergent care, surgical intervention, and association with systemic inflammatory response syndrome. We also consider how the cases might shed new light on the pathogenesis and evolution of this condition.
authors.affiliation: Department of Surgery, Heisei-Tateishi Hospital.
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Kodaira
authors.forename: Taro
authors.initials: T
authors.lastname: Iwamura
authors.forename: Hiroki
authors.initials: H
authors.lastname: Hoshino
authors.forename: Ken
authors.initials: K
authors.lastname: Takahashi
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Kawahigashi
authors.forename: Koshi
authors.initials: K
authors.lastname: Matsumoto
mesh_terms: D017542:Aneurysm, Ruptured / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D010053:Ovary / Q000098:blood supply*; D012422:Rupture, Spontaneous