Case Report Preventing thrombotic events in a case of postpartum ovarian artery aneurysm rupture: clinical challenges and management approaches
- سال انتشار: 1402
- محل انتشار: پنجمین کنگره گزارشهای موردی بالینی
- کد COI اختصاصی: CCRMED05_044
- زبان مقاله: انگلیسی
- تعداد مشاهده: 104
نویسندگان
Department of Internal Medicine, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
Department of Radiology, School of Medicine, Isfahan University of Medical Science, Isfahan, Iran
Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Science, Isfahan, Iran
چکیده
Ovarian artery aneurysm is a rare asymptomatic condition usually diagnosed when it ruptures. It causes massive bleeding, often in the peripartum period of multiparous women, who are already at an increased risk for thromboembolic events. Balancing the bleeding risk against the thrombotic complications remains unexplored in such cases. A ۳۵-year-old woman presented with hemorrhagic shock ۳ days after delivering her seventh healthy child. During the emergent exploratory laparotomy, she responded well to the blood transfusion; the stable retroperitoneal hematoma indicated no need to explore it. A subsequent episode of hemodynamic instability necessitated another laparotomy, during which the hematoma was evacuated and both ovarian arteries were ligated. Shortly thereafter, the patient suffered a pulmonary embolism (PE). In multiparous patients presenting with peripartum retroperitoneal hematoma and hemorrhagic shock, exploring the hematoma and ligating the ovarian and uterine arteries may reduce the risk of PE or the need for reoperation.کلیدواژه ها
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