-Case Reports-

Spontaneous Rupture of Aneurysms of the Ovarian Artery at Times Remote from Pregnancy

Yuzo Kodaira¹, Taro Iwamura¹, Hiroki Hoshino¹, Ken Takahashi¹, Yutaka Kawahigashi¹ and Koshi Matsumoto²

¹Department of Surgery, Heisei-Tateishi Hospital
²Department of Diagnostic Pathology, Ebina General Hospital

Spontaneous rupture of an aneurysm of the ovarian artery is usually considered a rare complication of pregnancy and the puerperium. However, we observed this emergent condition in a 51-year-old postmenopausal woman. We report here our experiences and consider lessons about diagnosis and management that can be drawn from this case and 5 other published cases in multiparous middle-aged women. These lessons include application of contrast-enhanced computed tomography to focus emergent care, surgical intervention, and association with systemic inflammatory response syndrome. We also consider how the cases might shed new light on the pathogenesis and evolution of this condition.

J Nippon Med Sch 2014; 81: 101-105

Keywords
retroperitoneal hemorrhage, ovarian artery, aneurysm

Correspondence to
Yuzo Kodaira, Department of Surgery, Flowers and Forest Tokyo Hospital, 2-3-6 Nishigahara, Kita-ku, Tokyo 114-0024, Japan
kodaira@hanamorithp.jp

Received, April 26, 2013
Accepted, May 9, 2013