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Spontaneous Rupture of an Ovarian Artery Aneurysm: A Rare Postpartum Complication

Background. Spontaneous rupture of an ovarian artery aneurysm is a rare but usually life-threatening event. It is most often associated with pregnancy or fibroids. Our case followed a normal vaginal delivery and then a delayed presentation with features similar to other less life-threatening postpar...

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Autores principales: Enakpene, Christopher A., Stern, Toni, Barzallo Salazar, Marco J., Mukherjee, Pradip
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789400/
https://www.ncbi.nlm.nih.gov/pubmed/27034862
http://dx.doi.org/10.1155/2016/1029561
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author Enakpene, Christopher A.
Stern, Toni
Barzallo Salazar, Marco J.
Mukherjee, Pradip
author_facet Enakpene, Christopher A.
Stern, Toni
Barzallo Salazar, Marco J.
Mukherjee, Pradip
author_sort Enakpene, Christopher A.
collection PubMed
description Background. Spontaneous rupture of an ovarian artery aneurysm is a rare but usually life-threatening event. It is most often associated with pregnancy or fibroids. Our case followed a normal vaginal delivery and then a delayed presentation with features similar to other less life-threatening postpartum conditions. The diagnosis could have been missed but for the meticulous and timely interventions which avoided catastrophic outcome. Case. This is a case of a multiparous woman with rupture of a left ovarian artery aneurysm, causing massive retroperitoneal hemorrhage and hematoma that required a combination of arterial embolization, percutaneous CT scan guided drainage, and surgical evacuation of the hematoma. Conclusion. Spontaneous rupture of ovarian artery should be considered as one of the differential diagnoses in the immediate postpartum period especially when the clinical symptoms do not correlate with the amount of blood loss. A high index of suspicion, prompt diagnosis, intervention, and a multidisciplinary approach in the management were the elements of a successful outcome in this case.
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spelling pubmed-47894002016-03-31 Spontaneous Rupture of an Ovarian Artery Aneurysm: A Rare Postpartum Complication Enakpene, Christopher A. Stern, Toni Barzallo Salazar, Marco J. Mukherjee, Pradip Case Rep Obstet Gynecol Case Report Background. Spontaneous rupture of an ovarian artery aneurysm is a rare but usually life-threatening event. It is most often associated with pregnancy or fibroids. Our case followed a normal vaginal delivery and then a delayed presentation with features similar to other less life-threatening postpartum conditions. The diagnosis could have been missed but for the meticulous and timely interventions which avoided catastrophic outcome. Case. This is a case of a multiparous woman with rupture of a left ovarian artery aneurysm, causing massive retroperitoneal hemorrhage and hematoma that required a combination of arterial embolization, percutaneous CT scan guided drainage, and surgical evacuation of the hematoma. Conclusion. Spontaneous rupture of ovarian artery should be considered as one of the differential diagnoses in the immediate postpartum period especially when the clinical symptoms do not correlate with the amount of blood loss. A high index of suspicion, prompt diagnosis, intervention, and a multidisciplinary approach in the management were the elements of a successful outcome in this case. Hindawi Publishing Corporation 2016 2016-02-29 /pmc/articles/PMC4789400/ /pubmed/27034862 http://dx.doi.org/10.1155/2016/1029561 Text en Copyright © 2016 Christopher A. Enakpene et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Enakpene, Christopher A.
Stern, Toni
Barzallo Salazar, Marco J.
Mukherjee, Pradip
Spontaneous Rupture of an Ovarian Artery Aneurysm: A Rare Postpartum Complication
title Spontaneous Rupture of an Ovarian Artery Aneurysm: A Rare Postpartum Complication
title_full Spontaneous Rupture of an Ovarian Artery Aneurysm: A Rare Postpartum Complication
title_fullStr Spontaneous Rupture of an Ovarian Artery Aneurysm: A Rare Postpartum Complication
title_full_unstemmed Spontaneous Rupture of an Ovarian Artery Aneurysm: A Rare Postpartum Complication
title_short Spontaneous Rupture of an Ovarian Artery Aneurysm: A Rare Postpartum Complication
title_sort spontaneous rupture of an ovarian artery aneurysm: a rare postpartum complication
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789400/
https://www.ncbi.nlm.nih.gov/pubmed/27034862
http://dx.doi.org/10.1155/2016/1029561
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