Korean J Obstet Gynecol.  2009 Aug;52(8):857-862.

A case of postpartum spontaneous ovarian artery rupture in patient with preeclampsia

• Jin CH
• Kim HY
• Kim KH
• Rho JH
• Bek TH
• Song YR

Abstract

Spontaneous ovarian artery rupture is exceedingly rare case that occur in the postpartum period. There were the cases that occurred aneurysmal rupture of ovarian artery and the coronary artery rupture in the women postpartum period without preeclampsia. There were the cases that occurred the cerebral artery rupture or retinal artery rupture in preeclampsia, but ovarian artery rupture is unreported. The cause of ovarian artery rupture in the postpartum period is unknown, but we thought that thinned arterial wall may be the cause during this period. The women in preeclampsia have high risk factors such as hypertension and pathologic disorder of the vessel. The retroperitoneal hemorrhage due to ovarian artery rupture cause hypovolemic shock, eventually death, therefore, it is necessary to immediate diagnosis and treatment. We described a case of spontaneous right ovarian artery rupture that occurred 2 days after vaginal delivery in preeclampsia including a review of the literature.

Keyword

Ovarian artery rupture; Postpartum; Preeclampsia

MeSH Terms

Aneurysm
Arteries
Cerebral Arteries
Coronary Vessels
Female
Glycosaminoglycans
Hemorrhage
Humans
Hypertension
Postpartum Period
Pre-Eclampsia
Retinal Artery
Risk Factors
Rupture
Shock
Glycosaminoglycans