Key result
Embolization using gelatin sponge particles successfully treated a ruptured ovarian artery aneurysm, allowing the patient to resume menstruation, conceive, and give birth at term without complications.
Why the study?
Is embolization using gelatin sponge particles safe and effective for managing a ruptured ovarian artery aneurysm while preserving fertility?
Case Report (n=1)
Is embolization using gelatin sponge particles safe and effective for managing a ruptured ovarian artery aneurysm while preserving fertility?
Interventional radiology with gelatin sponge embolization is a safe and effective treatment for ruptured ovarian artery aneurysms that preserves subsequent fertility.
Supports gelatin sponge embolization as fertility-preserving option in ruptured ovarian artery aneurysm; hypothesis-generating and requires prospective confirmation.
Spontaneous rupture of an ovarian artery aneurysm most commonly presents with abdominal pain in a multiparous woman in the early post-partum period. Aneurysms of the ovarian artery have been reported in the published work very infrequently. In our case, a 31-year-old multiparous woman experienced sudden left lower quadrant abdominal pain on the second post-partum day. Angiography showed rupture of a left ovarian artery aneurysm, which was successfully embolized using gelatin sponge particles. The patient resumed menstruation 3 months after the embolization and concurrently conceived, ultimately giving birth at term without complications. Interventional radiology appears to be a highly safe and effective technique for diagnosis and management of a ruptured ovarian artery aneurysm with minimal risk of impairing subsequent fertility.
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Sakaguchi et al. (2014) conducted a case report in Ruptured ovarian artery aneurysm (n=1). Embolization using gelatin sponge particles was evaluated on Clinical success and fertility preservation. Embolization using gelatin sponge particles successfully treated a ruptured ovarian artery aneurysm, allowing the patient to resume menstruation, conceive, and give birth at term without complications.
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