Laparoscopic Ligation of a First-Trimester Ovarian Artery Pseudoaneurysm

D. Ashley Hill, MD, Kimberly Liekweg, BA

Department of Obstetrics and Gynecology, University of Central Florida College of Medicine, Orlando, Florida (both authors).


Introduction: An ovarian artery pseudoaneurysm is a rare disorder of pregnancy.

Case Description: We present a case of an unruptured ovarian artery pseudoaneurysm during the first trimester, managed laparoscopically. The patient had undergone a previous right salpingo-oophorectomy and presented several weeks later with severe right adnexal pain. Doppler sonography and magnetic resonance arteriography revealed a right ovarian artery pseudoaneurysm. The patient declined selective embolization. Laparoscopic ligation of the pseudoaneurysm resulted in resolution of her symptoms. A complete description of the case, radiologic imaging, and a review of the literature are provided.

Discussion: Laparoscopy is an option for treating unruptured pelvic pseudoaneurysms during early pregnancy.

Key Words: Aneurysm, Laparoscopy, Ovarian artery, Pregnancy, Pseudoaneurysm

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