Spontaneous rupture of a dissection of the left ovarian artery

A 53-year-old female was suddenly hospitalized with acute left lateral abdominal pain. There was no history of trauma to the abdomen. She had received no abdominal operation. X-ray showed a soft tissue shadow in the left flank which displaced the bowel shadows medially. Plain abdominal CT showed a l...

Ausführliche Beschreibung

Gespeichert in:

Bibliographische Detailangaben
Veröffentlicht in:	The journal of medical investigation 2002-08, Vol.49 (3-4), p.182-185
Hauptverfasser:	Manabe, Yasushi, Yoshioka, Kazuo, Yanada, Junji
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdomen, Acute - etiology Aneurysm, Dissecting - complications Aneurysm, Dissecting - diagnostic imaging Aneurysm, Dissecting - surgery Arteries - pathology Female Hematoma - etiology Humans Ligation Middle Aged Ovariectomy Ovary - blood supply Retroperitoneal Space Rupture, Spontaneous Tomography, X-Ray Computed
Online-Zugang:	Volltext
Tags:	Tag hinzufügen Keine Tags, Fügen Sie den ersten Tag hinzu!

Beschreibung
Zusammenfassung:	A 53-year-old female was suddenly hospitalized with acute left lateral abdominal pain. There was no history of trauma to the abdomen. She had received no abdominal operation. X-ray showed a soft tissue shadow in the left flank which displaced the bowel shadows medially. Plain abdominal CT showed a left retroperitoneal hematoma. Dynamic abdominal CT showed an outflow of medium from a blood vessel in the hematoma. At laparotomy, the source of bleeding was found to be the left ovarian artery. The ovarian artery was dilated and meandered remarkably. The ovarian artery and vein were ligated proximally and left adenectomy was performed. The patient made an uneventful recovery. Histological examination suggested a spontaneous rupture of a dissection of the left ovarian artery.
ISSN:	1343-1420