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Embolization for post‐partum rupture of ovarian artery aneurysm: Case report and review
Author(s) -
Sakaguchi Isao,
Ohba Takashi,
Ikeda Osamu,
Yamashita Yasuyuki,
Katabuchi Hidetaka
Publication year - 2015
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12561
Subject(s) - medicine , ovarian artery , post partum , embolization , surgery , aneurysm , abdominal pain , uterine artery embolization , angiography , radiology , uterine artery , pregnancy , genetics , gestation , biology
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.