Ruptured Ovarian Artery Aneurysm Complicating a Term Vaginal Delivery

1993 ◽  
Vol 86 (9) ◽  
pp. 1073 ◽  
Author(s):  
MICHAEL A. BELFORT ◽  
MRCOG ◽  
BRIAN KIRSHON ◽  
JIMMY F. HOWELL
2011 ◽  
Vol 15 (2) ◽  
pp. 50-51
Author(s):  
F Van Schouwenburg ◽  
H Lameen

A 30 year-old woman presented at the casualty department 12 days after having given birth to a healthy baby via normal vaginal delivery. She complained of increasing pain and a mass in her right flank. There were no complaints of nausea, vomiting, dysuria or abnormal bowel habits. On examination, the patient was acutely distressed, in severe pain and was anaemic with an Hb of 5 g/dl. Her blood pressure was 151/71 mmHg and her pulse rate 125/minute. Physical examination revealed a severely distended abdomen with features of peritonitis. An abdominal ultrasound revealed a large abdominal fluid collection and a CT scan was therefore requested. A contrast-enhanced CT scan demonstrated a large homogenous retroperitoneal fluid collection in the right flank, with a 25mm rounded, intensely enhancing focus located close to the inferior border of the collection. The collection displaced the bowel to the left and inferiorly, and the liver, superiorly. The differential diagnosis included a ruptured ovarian artery aneurysm. As soon as the patient was stable, she was taken for ovarian artery embolization that was successfully accomplished. The patient recovered well in the ward.


1990 ◽  
Vol 12 (2) ◽  
pp. 190-193
Author(s):  
William L. M. King

2007 ◽  
Vol 86 (4) ◽  
pp. 504-505 ◽  
Author(s):  
Yoshitaka Morimatsu ◽  
Takeharu Koga ◽  
Hiroya Akiyoshi ◽  
Masamichi Koganemaru ◽  
Teruo Sakamoto ◽  
...  

2016 ◽  
Vol 42 (5) ◽  
pp. 579-583 ◽  
Author(s):  
Keiko Akashi ◽  
Keisuke Tanno ◽  
Kenro Chikazawa ◽  
Yukiko Mikami ◽  
Sachiho Netsu ◽  
...  

1989 ◽  
Vol 68 (7) ◽  
pp. 651-652 ◽  
Author(s):  
C. K. Høgdall ◽  
S. J. Pedersen ◽  
B. Ø. øvlisen ◽  
U. J. V. Helgestrand

2017 ◽  
Vol 52 (2) ◽  
pp. 159-163 ◽  
Author(s):  
Ramón García-Alva ◽  
Manuel Guerrero-Hernández ◽  
Javier E. Anaya-Ayala ◽  
Paula Leal-Anaya ◽  
Alejandro Gabutti ◽  
...  

Gonadal artery aneurysms (GADs) are extremely rare; their prevalence and natural history are unknown and their pathogenesis remains poorly understood. Based on the limited literature reports, these might present with rupture (ovarian artery) or pain and acute thrombosis (testicular artery). The present article reports the case of an 80-year-old woman who came to the emergency department (ED) with acute onset of abdominal and left flank pain. A computed tomography angiography (CTA) revealed a large retroperitoneal hematoma associated with the presence of a left ovarian artery aneurysm. The patient was taken to the angiography suite for a selective vessel catheterization and embolization with N-butyl-2-cyanoacrylate (NBCA). Following the procedure, her serial hemoglobin remained stable, her symptoms subsided, and she was discharged home 2 days later. The GADs are unrecognized entities until an acute event such as rupture occurs, and vessel embolization is effective for hemorrhage control. Close communication and collaboration with gynecologists and urologists are crucial to better define the prevalence, natural history, and the appropriate behavior and timing for elective treatment. With this article, the authors additionally present a review of the literature.


2021 ◽  
Author(s):  
Kevin Tian ◽  
Adam Frankel ◽  
Peter Hodgkinson ◽  
Simon T. Wood ◽  
Iain Thomson

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