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Spontaneous Rupture of an Ovarian Artery Aneurysm in the Early Postpartum Period: A Case Report

Luke Speier1, Trevor Ward1, Jeffrey Bednar1

  • 1College of Osteopathic Medicine, Touro University Nevada, Henderson, USA.

Cureus
|August 22, 2024
PubMed

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.

Keywords:
critical care in obstetricsinterventional radiology guided embolizationmassive blood lossovarian artery aneurysmpost partum hemorrhage

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