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

Jin, Chan Hee; Kim, Hyun Young; Kim, Ki Hwan; Rho, Jeong Hoon; Bek, Tae Hwa; Song, Young Rae

Case Report

Korean Journal of Obstetrics & Gynecology 2009;52(8):857-862.
Published online August 1, 2009.

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

Chan Hee Jin, Hyun Young Kim, Ki Hwan Kim, Jeong Hoon Rho, Tae Hwa Bek, Young Rae Song

¹Department of Obstetrics and Gynecology, College of Medicine, Eulji University, Daejeon, Korea. ureus@eulji.ac.kr
²Department of Pathology, College of Medicine, Eulji University, Daejeon, Korea.

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.

Key Words: Ovarian artery rupture, Postpartum, Preeclampsia