Ovarian arterial aneurysm
- Authors: Minnullina F.F.1,2, Mukhametzyanova L.M.1,2, Akhmetshina L.R.3
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Affiliations:
- Institute of Fundamental Medicine and Biology, Kazan Federal University
- City Clinical Hospital No. 7 named after M.N. Sadykov, Ministry of Health of the Republic of Tatarstan
- Republican Clinical Hospital, Ministry of Health of the Republic of Tatarstan
- Issue: No 8 (2023)
- Pages: 224-228
- Section: Clinical Notes
- URL: https://journals.eco-vector.com/0300-9092/article/view/595703
- DOI: https://doi.org/10.18565/aig.2023.106
- ID: 595703
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Abstract
Background: Spontaneous ovarian arterial rupture is a rare life-threatening complication. This pathology is most commonly associated with pregnancy.
Case report: This paper describes a clinical case of a multiparous (ecundipara) patient with ovarian aneurysm rupture in the postpartum period. The patient aged 39 years has been admitted to the Gynecology Department, Republican Clinical Hospital, Ministry of Health of the Republic of Tatarstan, on the second day after term vaginal delivery with complaints in the right lumbar area and temperature rises. Contrast-enhanced computed tomography (CT) has revealed large retroperitoneal hematoma, and active extravasation of the contrast agent into the right retroperitoneal space. Embolization of uterine arteries and the right ovarian artery was successfully performed.
Conclusion: Contrast-enhanced CT allows one to detect a rare complication as ovarian arterial aneurysm rupture. Diagnostic angiography and subsequent transcatheter arterial embolization are an alternative to a surgical intervention and are considered to be very effective in this condition.
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About the authors
Farida F. Minnullina
Institute of Fundamental Medicine and Biology, Kazan Federal University; City Clinical Hospital No. 7 named after M.N. Sadykov, Ministry of Health of the Republic of Tatarstan
Email: minnullina_f@mail.ru
ORCID iD: 0000-0001-8270-085X
PhD, Head of the Department of Obstetrics and Gynecology; Head of the Gynecological Department No.2
Russian Federation, Kazan; KazanLiliya M. Mukhametzyanova
Institute of Fundamental Medicine and Biology, Kazan Federal University; City Clinical Hospital No. 7 named after M.N. Sadykov, Ministry of Health of the Republic of Tatarstan
Author for correspondence.
Email: mmm-liliya@yandex.ru
ORCID iD: 0000-0002-2034-4308
Assistant of the Department of Obstetrics and Gynecology of Institute of Fundamental Medicine and Biology; obstetrician-gynecologist of the Gynecological Department No.2
Russian Federation, Kazan; KazanLandish R. Akhmetshina
Republican Clinical Hospital, Ministry of Health of the Republic of Tatarstan
Email: monara_12@mail.ru
ORCID iD: 0009-0005-9425-7791
Junior Researcher, obstetrician-gynecologist
Russian Federation, KazanReferences
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