title: Spontaneous post-partum rupture of an ovarian artery aneurysm: a case report of successful embolization and a review of the published work.
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.
authors.affiliation: Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
authors.forename: Shoko
authors.initials: S
authors.lastname: Wakimoto
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Hidaka
authors.forename: Kotaro
authors.initials: K
authors.lastname: Fukushima
authors.forename: Kiyoko
authors.initials: K
authors.lastname: Kato
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D017542:Aneurysm, Ruptured / Q000150:complications / Q000628:therapy*; D001158:Arteries; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D010053:Ovary / Q000098:blood supply*; D049590:Postpartum Period; D012422:Rupture, Spontaneous
keywords: angiography; computed tomography; ovarian artery aneurysm; puerperant; transcatheter arterial embolization