Evidence map›Paper›PMID 39548563›Full record

ReviewJournal of medical case reports2024

Spontaneous rupture of an ovarian artery aneurysm complicated by postpartum hypertensive disorders of pregnancy after caesarean section: a case report and literature review.

Mami Shibahara, Emi Kondo, Eiji Shibata, Satoshi Fukumitsu, Kenta Anai, Shigeto Ishikawa, Yoshiko Hayashida, Masaru Araki, Kiyoshi Yoshino

Abstract readCase ReportsReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of medical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Mami ShibaharaDepartment of Obstetrics and Gynecology, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, Fukuoka, 807-8555, Japan.
Emi KondoDepartment of Obstetrics and Gynecology, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, Fukuoka, 807-8555, Japan. ek89224@med.uoeh-u.ac.jp.
Eiji ShibataDepartment of Obstetrics and Gynecology, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, Fukuoka, 807-8555, Japan.
Satoshi FukumitsuDepartment of Radiology, University of Occupational and Environmental Health, Fukuoka, Japan.
Kenta AnaiDepartment of Radiology, University of Occupational and Environmental Health, Fukuoka, Japan.
Shigeto IshikawaDepartment of Emergency Medicine, University of Occupational and Environmental Health, Fukuoka, Japan.
Yoshiko HayashidaDepartment of Radiology, University of Occupational and Environmental Health, Fukuoka, Japan.
Masaru ArakiSecond Department of Internal Medicine, University of Occupational and Environmental Health, Fukuoka, Japan.
Kiyoshi YoshinoDepartment of Obstetrics and Gynecology, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, Fukuoka, 807-8555, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe spontaneous rupture of an artery aneurysm during the perinatal period is considered a serious complication associated with the physiological alteration by pregnancy and delivery. The rupture of an ovarian artery aneurysm is rare and leads to rapid retroperitoneal hemorrhage. Here, we report one case complicated by postpartum hypertensive disorder of pregnancy associated with massive bleeding into retroperitoneal cavity by the spontaneous rupture of ovarian artery aneurysm after caesarean section, and reviewed previous literature. CASE PRESENTATION: A 41-year-old Japanese woman was referred to our hospital four days after undergoing cesarean delivery because of hemorrhagic shock with abdominal and right flank pain. Contrast-enhanced computed tomography revealed a large retroperitoneal hematoma. Angiography showed a ruptured right ovarian artery aneurysm, anastomosing with a dilated uterine artery. She was successfully treated with transcatheter arterial embolization. She was diagnosed with postpartum hypertensive disorder of pregnancy 3 days after the embolization.

conclusionThe rupture of ovarian aneurysm can occur during the perinatal period, although it has not been widely understood among obstetricians. Multiparity and hypertensive disorder of pregnancy might be risk factors for the rupture of an ovarian aneurysm. Early diagnosis and therapy, such as transcatheter arterial embolization in preparation for an emergency laparotomy, are crucially important for the management of this fatal disease.

Indexed as

Aneurysm, RupturedCesarean SectionEmbolization, TherapeuticOvaryAdultFemaleHematomaHumansHypertension, Pregnancy-InducedPregnancyRetroperitoneal SpaceRupture, SpontaneousTomography, X-Ray ComputedHypertensive disorder of pregnancyOvarian artery aneurysmPostpartumRetroperitoneal hemorrhageTranscatheter arterial embolization

Identifiers

PMID39548563
PMCPMC11566897

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.