Speier Luke, Ward Trevor, Bednar Jeffrey, Kramer Nicholas, Almario Leanne
College of Osteopathic Medicine, Touro University Nevada, Henderson, USA.
Obstetrics and Gynecology, Red Rock Obstetrics and Gynecology, Las Vegas, USA.
Cureus. 2024 Jul 22;16(7):e65137. doi: 10.7759/cureus.65137. eCollection 2024 Jul.
The spontaneous rupture of an ovarian artery aneurysm (OAA) is an extremely uncommon and life-threatening event. Here, we describe the case of a 34-year-old G6P5015 female who underwent spontaneous vaginal delivery. Following delivery, she experienced hypotension and reported right-sided abdominal pain. A contrast-enhanced computed tomography (CT) angiogram revealed an aneurysmal dilation, extravasation, pseudoaneurysms, and a large retroperitoneal hematoma attributable to a rupture of the right ovarian artery. Subsequently, an exploratory laparotomy was performed, and then a transcatheter arterial embolization (TAE) by interventional radiology (IR). At a proximal site, IR successfully embolized both the ovarian and uterine arteries. This case highlights the significance of rapid intervention in managing an OAA. Additionally, we discuss the risk factors and treatment alternatives for OAA, underscoring the importance of considering it in the differential diagnosis when encountering atypical hypotension in the postpartum period.
卵巢动脉动脉瘤（OAA）自发性破裂是一种极其罕见且危及生命的事件。在此，我们描述一例34岁、孕6产5015的女性，她经历了自然阴道分娩。分娩后，她出现低血压并自述右侧腹痛。增强计算机断层扫描（CT）血管造影显示有动脉瘤样扩张、造影剂外渗、假性动脉瘤以及因右侧卵巢动脉破裂导致的巨大腹膜后血肿。随后，进行了剖腹探查术，接着由介入放射科（IR）实施经导管动脉栓塞术（TAE）。在近端部位，IR成功栓塞了卵巢动脉和子宫动脉。该病例凸显了对OAA进行快速干预的重要性。此外，我们讨论了OAA的危险因素和治疗选择，强调在产后出现非典型低血压时，在鉴别诊断中考虑OAA的重要性。
