卵巢动脉瘤(OAA)的自发性破裂是一种极为罕见且危及生命的事件。这里,我们描述了一例34岁的G6P5015女性自发阴道分娩的病例.交付后,她出现低血压并报告右侧腹痛。对比增强计算机断层扫描(CT)血管造影显示动脉瘤扩张,外渗,假性动脉瘤,以及由于右卵巢动脉破裂引起的大的腹膜后血肿。随后,进行了剖腹探查术,然后通过介入放射学(IR)进行经导管动脉栓塞(TAE)。在近端,IR成功地栓塞了卵巢和子宫动脉。此案例凸显了快速干预在管理OAA中的重要性。此外,我们讨论了OAA的风险因素和治疗替代方案,强调在产后遇到非典型低血压时,在鉴别诊断中考虑它的重要性。
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.