title: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
authors.forename: Isao
authors.initials: I
authors.lastname: Sakaguchi
authors.forename: Takashi
authors.initials: T
authors.lastname: Ohba
authors.forename: Osamu
authors.initials: O
authors.lastname: Ikeda
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Yamashita
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Katabuchi
mesh_terms: D015746:Abdominal Pain / Q000209:etiology / Q000628:therapy*; D000328:Adult; D017542:Aneurysm, Ruptured / Q000150:complications / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D010053:Ovary / Q000098:blood supply*; D049590:Postpartum Period; D016896:Treatment Outcome
keywords: angiography; early post-partum period; fertility; ovarian artery aneurysm; transcatheter arterial embolization