ArticleCase reports in women's health2026
Spontaneous retroperitoneal haematoma in pregnancy secondary to ruptured ovarian artery aneurysm: a case report.
Article in Case reports in women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Rupture of an ovarian artery aneurysm is a rare but potentially life-threatening cause of retroperitoneal haemorrhage during pregnancy. Most reported cases have occurred postpartum in multiparous women. This report describes an unusual case in a 26-year-old primigravid woman with symptom onset in the second trimester. She presented with recurrent left-sided abdominal pain from 21 + 6 weeks of gestation. Following repeated normal initial assessments, CT angiography at 31 + 6 weeks revealed a ruptured left ovarian artery aneurysm with retroperitoneal haemorrhage. She underwent a successful transarterial embolization, later developed pre-eclampsia, and delivered a healthy infant by planned caesarean section at 37 + 3 weeks of gestation. The case demonstrates that pregnancy-associated ovarian artery aneurysm may rupture in nulliparous women and present as early as the second trimester with recurrent, non-specific abdominal pain. Early vascular imaging and timely intervention may improve maternal and fetal outcomes.
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