Wakimoto Shoko, Hidaka Nobuhiro, Fukushima Kotaro, Kato Kiyoko
Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
J Obstet Gynaecol Res. 2015 Mar;41(3):456-9. doi: 10.1111/jog.12535. Epub 2014 Sep 26.
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.
卵巢动脉动脉瘤在围产期破裂的情况较为罕见，但后果可能是灾难性的。在1980年至2013年期间，英文医学发表作品中仅报道了9例。我们描述了一名患者，其左卵巢动脉动脉瘤在顺产顺利4天后破裂。通过紧急计算机断层扫描和血管造影术立即确定了破裂情况。出血通过动脉栓塞和输血进行处理，最终获得了成功的结果。对于产后出现腹痛加剧或局部腹痛的女性，在鉴别诊断时应考虑卵巢动脉动脉瘤破裂的可能性。
