Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

Ovarian Artery Rupture Presenting with a Spontaneous Retroperitoneal Hemorrhage of an Anticoagulated Patient: A Successful Treatment with Embolization

항응고치료 환자에서 자발성 후복막강 출혈로 나타난 난소동맥 파열: 색전술을 이용한 성공적 치료

  • So Jeong Lee (Department of Radiology, Dankook University Hospital) ;
  • Min Jeong Choi (Department of Radiology, Dankook University Hospital) ;
  • Bong Man Kim (Department of Radiology, Dankook University Hospital) ;
  • Sang Yoon Kim (Department of Radiology, Dankook University Hospital)
  • 이소정 (단국대학교병원 영상의학과) ;
  • 최민정 (단국대학교병원 영상의학과) ;
  • 김봉만 (단국대학교병원 영상의학과) ;
  • 김상윤 (단국대학교병원 영상의학과)
  • Received : 2020.01.07
  • Accepted : 2020.03.31
  • Published : 2020.11.01
Download PDF
⟨ Previous Next ⟩

Abstract

Retroperitoneal hemorrhage is a potentially lethal complication in patients on anticoagulant therapy and can be caused by ovarian artery bleeding, regardless of the patients' age and obstetric history. This case illustrates the clinical presentation of ovarian artery bleeding in a postmenopausal female on anticoagulant therapy, the diagnostic utility of transcatheter angiography, and successful embolization.

후복막강 출혈은 항응고 치료의 치명적 합병증일 수 있으며, 나이 및 산과력과 상관없이 난소동맥이 출혈 병소일 수 있다. 저자들은 폐경기 여성에서 항응고 치료 중에 발생한 난소동맥 출혈을 경도관 혈관조영술 및 색전술을 통해 정확한 진단 및 효과적인 지혈이 가능했던 증례를 소개하고자 한다.

Keywords

References

  1. Hauguel M, Boelle P, Pichereau C, Bourcier S, Bige N, Baudel JL, et al. Severe extra-cerebral angicoagulant-related bleeding in intensive care unit: a retrospective study from 2000 to 2013. Medicine (Baltimore) 2015;94:e2161 
  2. Sunga KL, Bellolio MF, Gilmore RM, Cabrera D. Spontaneous retroperitoneal hematoma: etiology, characteristics, management, and outcome. J Emerg Med 2012;43:e157-e161 
  3. Park SH, Lee SW, Jeon U, Jeon MH, Lee SJ, Shin WY, et al. Transcatheter arterial embolization as treatment for a life-threatening retroperitoneal hemorrhage complicating heparin therapy. Korean J Intern Med 2011;26:352-355 
  4. Isokangas JM, Perala JM. Endovascular embolization of spontaneous retroperitoneal hemorrhage secondary to anticoagulant treatment. Cardiovasc Intervent Radiol 2014;27:607-611 
  5. Garcia-Alva R, Guerrero-Hernandez M, Anaya-Ayala JE, Leal-Anaya P, Gabutti A, Picazo A, et al. Successful embolization of a ruptured ovarian artery aneurysm in a postmenopausal woman: case report and literature review of gonadal artery aneurysms. Vasc Endovascular Surg 2018;52:159-163 
  6. Zorrilla AM, Fein LA, James K, Alhman PP, Mohan PP, Pastor Carvajal SM. Retroperitoneal hematoma secondary to spontaneous rupture of ovarian artery pseudoaneurysms: case report and review of literature. J Obstet Gynaecol 2019;39:422-424 
  7. Farrelly C, Fidelman N, Durack JC, Hagiwara E, Kerlan RK Jr. Transcatheter arterial embolization of spontaneous life-threatening extraperitoneal hemorrhage. J Vasc Interv Radiol 2011;22:1396-1402 
  8. Toyoshima M, Kudo T, Igeta S, Makino H, Momono Y, Shima T, et al. Spontaneous retroperitoneal hemorrhage caused by rupture of an ovarian artery aneurysm: a case report and review of the literature. J Med Case Rep 2015;9:84 
  9. Madhusudhan KS, Venkatesh HA, Gamanagatti S, Garg P, Srivastava DN. Interventional radiology in the management of visceral artery pseudoaneurysms: a review of techniques and embolic materials. Korean J Radiol 2016;17:351-363