Korean J Radiol.  2013 Feb;14(1):91-93. 10.3348/kjr.2013.14.1.91.

Aberrant Ovarian Artery Arising from the Common Iliac Artery: Case Report

Affiliations
  • 1Department of Radiology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon 420-767, Korea.
  • 2Department of Radiology, Soonchunhyang University Gumi Hospital, Soonchunhyang University College of Medicine, Gumi 730-904, Korea. ysbysb@sch.ac.kr
  • 3Department of Radiology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul 140-743, Korea.

Abstract

A 46-year-old Vietnamese woman received embolization therapy in order to control postpartum hemorrhage. Angiography revealed an aberrant ovarian artery arising from the right common iliac artery. Superselective catheterization and subsequent embolization of the aberrant ovarian artery and bilateral uterine arteries were performed. Precise knowledge of the anatomic variations of the ovarian artery is important for successful embolization.

Keyword

Aberrant ovarian artery; Angiography; Uterine artery angiography; Interventional procedure; Postpartum hemorrhage

MeSH Terms

Angiography
Embolization, Therapeutic/*methods
Female
Humans
Iliac Artery/*radiography
Middle Aged
Ovary/*blood supply/*radiography
Postpartum Hemorrhage/*radiography/*therapy
Pregnancy
Vascular Malformations/*radiography/*therapy

Figure

  • Fig. 1 Images of 46-year-old female patient with postpartum hemorrhage. Flush aortography (A) showing aberrant ovarian artery arising from right common iliac artery (arrow). Selective angiography (B) showing that artery has sinuous course and is tortuous (arrows). This artery shows typical ovarian blush (arrow) and abundant collateral perfusion to markedly enlarged uterine fundus (open arrow) (C). Embolization of aberrant ovarian artery demonstrating occlusion of uterine branches of artery (D). Selective angiography of right uterine artery (E) and post-embolization state of this artery (F).


Reference

1. Gonsalves M, Belli A. The role of interventional radiology in obstetric hemorrhage. Cardiovasc Intervent Radiol. 2010. 33:887–895.
2. Smoger DL, Kancherla V, Shlansky-Goldberg RD. Uterine fundal blood supply from an aberrant left ovarian artery originating from the inferior mesenteric artery: implications for uterine artery embolization. J Vasc Interv Radiol. 2010. 21:941–944.
3. Bensalah J, Dumousset E, Niro J, Cassagnes L, Ravel A, Gallot D, et al. Aberrant ovarian and uterine feeding from the renal artery at the end of gestation: two cases. J Vasc Interv Radiol. 2010. 21:1911–1912.
4. Ambekar A, Vogelzang RL. Aberrant uterine artery as a cause of uterine artery embolization treatment failure. Int J Gynaecol Obstet. 2001. 74:59–60.
5. Horton AW, Patel U, Belli AM. An unusual arterial supply to the uterus. A case report and review of anatomy-implications for uterine artery embolization. Clin Radiol. 2010. 65:1038–1042.
6. Wi JY, Kim HC, Chung JW, Jun JK, Jae HJ, Park JH. Importance of angiographic visualization of round ligament arteries in women evaluated for intractable vaginal bleeding after uterine artery embolization. J Vasc Interv Radiol. 2009. 20:1031–1035.
Full Text Links
  • KJR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2023 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr