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).
ABSTRACT
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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