J Korean Soc Radiol.
2016 May;74(5):339-343. 10.3348/jksr.2016.74.5.339.
Aberrant Ovarian Artery Originating from the Iliolumbar Artery: A Case Report
- Affiliations
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- 1Department of Radiology, Soonchunhyang University College of Medicine, Bucheon Hospital, Bucheon, Korea. skyfill@schmc.ac.kr
- KMID: 2164832
- DOI: http://doi.org/10.3348/jksr.2016.74.5.339
Abstract
- Here, we report a case of a 30-year-old woman who presented with primary postpartum hemorrhage due to uterine atony. She received uterine artery embolization (UAE). During left internal iliac arteriography, an aberrant left ovarian artery originating from the left iliolumbar artery was visualized. The aberrant left ovarian artery was connected to the left uterine artery via prominent collateral vessels. It supplied a significant amount of blood to the fundus of the uterus. Bilateral hypertrophied uterine arteries were embolized very carefully so that the embolic material did not reflux into the aberrant left ovarian artery. After the procedure, her vaginal bleeding was successfully controlled. Accurate understanding of anatomical variations of the ovarian artery is essential to avoid failure in controlling postpartum hemorrhage with UAE.
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