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Obstetrics and Gynegology2023№8
Ovarian arterial aneurysm

Ovarian arterial aneurysm

DOI
https://dx.doi.org/10.18565/aig.2023.106

Minnullina F.F., Mukhametzyanova L.M., Akhmetshina L.R.

1) Institute of Fundamental Medicine and Biology, Kazan Federal University, Kazan, Russia; 2) City Clinical Hospital No. 7 named after M.N. Sadykov, Ministry of Health of the Republic of Tatarstan, Kazan, Russia; 3) Republican Clinical Hospital, Ministry of Health of the Republic of Tatarstan, Kazan, Russia
Background: Spontaneous ovarian arterial rupture is a rare life-threatening complication. This pathology is most commonly associated with pregnancy.
Case report: This paper describes a clinical case of a multiparous (ecundipara) patient with ovarian aneurysm rupture in the postpartum period. The patient aged 39 years has been admitted to the Gynecology Department, Republican Clinical Hospital, Ministry of Health of the Republic of Tatarstan, on the second day after term vaginal delivery with complaints in the right lumbar area and temperature rises. Contrast-enhanced computed tomography (CT) has revealed large retroperitoneal hematoma, and active extravasation of the contrast agent into the right retroperitoneal space. Embolization of uterine arteries and the right ovarian artery was successfully performed.
Conclusion: Contrast-enhanced CT allows one to detect a rare complication as ovarian arterial aneurysm rupture. Diagnostic angiography and subsequent transcatheter arterial embolization are an alternative to a surgical intervention and are considered to be very effective in this condition.

Authors' contributions: Minnullina F.F., Akhmetshina L.R. – concept and design of the investigation; Mukhametzyanova L.M. – material collection and processing, writing the text; Minnullina F.F. – editing.
Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: The investigation has not been sponsored.
Patient Consent for Publication: The female patient has signed an informed consent form to publication of her data and associated images.
For citation: Minnullina F.F., Mukhametzyanova L.M., Akhmetshina L.R. Ovarian arterial aneurysm.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2023; (8): 224-228 (in Russian)
https://dx.doi.org/10.18565/aig.2023.106

Keywords

spontaneous rupture
ovarian artery aneurysm
transcatheter arterial embolization
postpartum complication
Full text (in Russian)

References

  1. Toyoshima M., Kudo T., Igeta S., Makino H., Momono Y., Shima T. et al. Spontaneous retroperitoneal hemorrhage caused by rupture of an ovarian artery aneurysm: a case report and review of the literature. J. Med. Case Rep. 2015; 9: 84. https://dx.doi.org/10.1186/s13256-015-0553-4.
  2. Tsai M.-T., Lien W.-C. Spontaneous rupture of an ovarian artery aneurysm. Am. J. Obstet. Gynecol. 2009; 200(3): e7-9. https://dx.doi.org/10.1016/j.ajog.2008.09.875.
  3. Treadwell S.D., Thanvi B., Robinson T.G. Stroke in pregnancy and the puerperium. Postgrad. Med. J. 2008; 84(991): 238-45. https://dx.doi.org/10.1136/pgmj.2007.066167.
  4. Burnett R.A., Carfrae D.C. Spontaneous rupture of ovarian artery aneurysm in the puerperium. Two case reports and a review of the literature. Br. J. Obstet. Gynaecol. 1976; 83(9): 744-50. https://dx.doi.org/10.1111/j.1471-0528.1976.tb00926.x.
  5. Barrett J.M., Van Hooydonk J.E., Boehm F.H. Pregnancy-related rupture of arterial aneurysms. Obstet. Gynecol. Surv. 1982; 37(9) 557-66.https://dx.doi.org/10.1097/00006254-198209000-00001.
  6. Chao L.-W., Chen C.-H. Spontaneous rupture of an ovarian artery aneurysm: case report and review of the literature. Gynecol. Obstet. Invest. 2009; 68: 104-7. https://dx.doi.org/10.1159/000220603.
  7. Kwon J.H. Percutaneous transarterial embolization of spontaneously ruptured ovarian artery aneurysm using N-butyl cyanoacrylate. Iran. J. Radiol. 2014; 11(3): e13371. https://dx.doi.org/10.5812/iranjradiol.13371.
  8. Sakaguchi I., Ohba T., Ikeda O., Yamashita Y., Katabuchi H. Embolization for post-partum rupture of ovarian artery aneurysm: case report and review. J. Obstet. Gynaecol. Res. 2015; 41(4): 623-7. https://dx.doi.org/10.1111/jog.12561.
  9. Phillips C.K., Lepor H. Spontaneous retroperitoneal hemorrhage caused by segmental arterial mediolysis. Rev. Urol. 2006; 8: 36-40.
  10. Tian K., Frankel A., Hodgkinson P., Wood S.T., Thomson I. Ovarian artery aneurysm: A rare cause for a retroperitoneal mass. ANZ J. Surg. 2022; 92(3): 566-8. https://dx.doi.org/10.1111/ans.17080.
  11. Nakajo M., Ohkubo K., Fukukura Y., Nandate T., Nakajo M. Embolization of spontaneous rupture of an aneurysm of the ovarian artery supplying the uterus with fibroids. Acta Radiol. 2005; 46(8): 887-90.https://dx.doi.org/10.1080/02841850500270332.
  12. Manabe Y., Yoshioka K., Yanada J. Spontaneous rupture of a dissection of the left ovarian artery. J. Med. Invest. 2002; 49(3-4): 182-5.
  13. Kale A., Akdeniz N., Erdemoglu M., Ozcan Y., Yalinkaya A. Spontaneous rupture of the ovarian artery following spontaneous vaginal birth. Saudi Med. J. 2005; 26(11): 1826-7.
  14. Wada K., Aoyagi S., Matsuura Y., Urabe S., Nata S.I., Tobinaga S., Yasunaga H. Pregnancy-unrelated spontaneous rupture of a right ovarian artery aneurysm. Radiol. Case Rep. 2021; 16(11): 3270-4. https://dx.doi.org/10.1016/j.radcr.2021.07.086.
  15. Enakpene C.A., Stern T., Barzallo Salazar M.J., Mukherjee P. Spontaneous rupture of an ovarian artery aneurysm: A rare postpartum complication. Case Rep. Obstet. Gynecol. 2016; 2016: 1029561. https://dx.doi.org/10.1155/2016/1029561.

Received 25.04.2023

Accepted 29.05.2023

About the Authors

Farida F. Minnullina, PhD, Head of the Department of Obstetrics and Gynecology of Institute of Fundamental Medicine and Biology, Kazan Federal University; Head of the Gynecological Department No.2, City Clinical Hospital No. 7 named after M.N. Sadykov, Ministry of Health of the Republic of Tatarstan (Kazan), +7(987)233-04-78, minnullina_f@mail.ru, 54 Marshal Chuikov str., Kazan, Russian Federation, 420103, https://orcid.org/0000-0001-8270-085x
Liliya M. Mukhametzyanova, Assistant of the Department of Obstetrics and Gynecology of Institute of Fundamental Medicine and Biology, Kazan Federal University; obstetrician-gynecologist of the Gynecological Department No.2, City Clinical Hospital No. 7 named after M.N. Sadykov, Ministry of Health of the Republic of Tatarstan (Kazan), +7(917)929-50-77, mmm-liliya@yandex.ru, 54 Marshal Chuikov str., Kazan, Russian Federation, 420103, https://orcid.org/0000-0002-2034-4308
Landish R. Akhmetshina, Junior Researcher, Republic Clinical Hospital, Ministry of health of the Republic of Tatarstan; obstetrician-gynecologist, Republic Clinical Hospital, Ministry of Health of the Republic of Tatarstan, +7(939)384-85-65, monara_12@mail.ru, 138 Orenburgskiy tract, Kazan, Russian Federation, 420012,
https://orcid.org/0009-0005-9425-7791
Corresponding author: Liliya Mansurovna Mukhametzyanova, mmm-liliya@yandex.ru
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