Spontaneous rupture of an ovarian artery during pregnancy: A case report and literature review.
10.11817/j.issn.1672-7347.2022.220350
- Author:
Yingqin FU
1
;
Ruizhen LI
2
;
Xuetao MAO
2
;
Xingping ZHAO
2
;
Chunxia CHENG
3
;
Dabao XU
4
Author Information
1. Department of Gynecology, Third Xiangya Hospital, Central South University, Changsha 410013, China. 2577317613@qq.com.
2. Department of Gynecology, Third Xiangya Hospital, Central South University, Changsha 410013, China.
3. Department of Gynecology, Third Xiangya Hospital, Central South University, Changsha 410013, China. darlingch@126.com.
4. Department of Gynecology, Third Xiangya Hospital, Central South University, Changsha 410013, China. dabaoxu2022@163.com.
- Publication Type:Journal Article
- Keywords:
cesarean section;
digital subtraction angiography;
duration of pregnancy;
intrauterine fetal death;
retroperitoneal hematoma;
spontaneous rupture of the ovarian artery;
transcatheter arterial embolization
- MeSH:
Pregnancy;
Humans;
Female;
Adult;
Rupture, Spontaneous;
Cesarean Section;
Fetal Death;
Arteries
- From:
Journal of Central South University(Medical Sciences)
2022;47(11):1615-1621
- CountryChina
- Language:English
-
Abstract:
Spontaneous rupture of the ovarian artery is very rare and can cause retroperitoneal hemorrhage, which is seriously life-threatening. Herein, we reported a case of massive retroperitoneal hematoma caused by spontaneous rupture of the right ovarian artery during pregnancy and intrauterine fetal death. A 32-year-old woman, gravida 6 para 5, had non-specific right lower abdomen and low back pain in the third trimester. Emergency cesarean section was performed due to the increased pain and decreased fetal heart rate. A huge retroperitoneal hematoma and intrauterine fetal death were found. Then, the abdomen was closed due to unknown source of bleeding and unstable vital signs. Computed tomography scan was conducted to clarify the extent of the retroperitoneal hematoma. Digital subtraction angiography confirmed the rupture of the right ovarian artery. A transcatheter artery embolization was successfully performed to control the bleeding. The patient ultimately recovered well after surgery.
