Publicação

Spontaneous postpartum rupture of an ovarian artery pseudoaneurysm: for a rare case, an effective treatment

Detalhes bibliográficos
Resumo:	Abstract Spontaneous rupture of an ovarian artery aneurysm or pseudoaneurysm (OAA) is a rare, life-threatening cause of retroperitoneal hemorrhage. We present a patient with an undiagnosed left ovarian pseudoaneurysm that ruptured two days after an uneventful vaginal delivery. This condition was initially masked by typical puerperal changes and postpartum complications, however, an urgent transcatheter arterial embolization (TAE) led to a successful outcome. This case report and a literature review highlight the need for awareness of ruptured OAA in the differential diagnosis of severe abdominal pain after childbirth, especially in high-parity women, to improve maternal and perinatal outcomes.
Autores principais:	Almeida,Ana Beatriz De
Outros Autores:	Coroado,Mariana; Veiga,Carlos Fernandes; Lourenço,Cláudia Macário; Barreiro,Márcia
Assunto:	Ovarian artery pseudoaneurysm Retroperitoneal hemorrhage Postpartum Angiography Transcatheter arterial embolization.
Ano:	2025
País:	Portugal
Tipo de documento:	relatório
Tipo de acesso:	acesso aberto
Instituição associada:	Fundação para a Ciência e Tecnologia
Idioma:	inglês
Origem:	SciELO Portugal

Descrição
Resumo:	Abstract Spontaneous rupture of an ovarian artery aneurysm or pseudoaneurysm (OAA) is a rare, life-threatening cause of retroperitoneal hemorrhage. We present a patient with an undiagnosed left ovarian pseudoaneurysm that ruptured two days after an uneventful vaginal delivery. This condition was initially masked by typical puerperal changes and postpartum complications, however, an urgent transcatheter arterial embolization (TAE) led to a successful outcome. This case report and a literature review highlight the need for awareness of ruptured OAA in the differential diagnosis of severe abdominal pain after childbirth, especially in high-parity women, to improve maternal and perinatal outcomes.