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Toyoshima et al. Journal of Medical Case Reports (2015) 9:84 DOI 10.1186/s13256-015-0553-JOURNAL OF MEDICALCASE REPORTSCASE REPORT (R)-3-Fluoropyrrolidine hydrochloride Open AccessSpontaneous retroperitoneal hemorrhage caused by rupture of an ovarian artery aneurysm: a case report and review of the literatureMasafumi Toyoshima1*, Takako Kudo1, Saori Igeta1, Hiromitsu Makino1, Yuta Momono1, Takashi Shima1, Rui Matsuura1, Nobuko Ishigaki1, Kozo Akagi1, Yoichi Takeyama1, Hideki Iwahashi1,3, Hiroya Rikimaru2, Akihiro Sato2 and Kosuke YoshinagaAbstractIntroduction: Spontaneous rupture of an ovarian oncotarget.13387 artery aneurysm is extremely rare. Although a majority of these cases have been associated with pregnancy, there have been recent reports and reviews of rare cases that were not directly associated with pregnancy. Transcatheter arterial embolization is PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/9544797 considered to be an 3-Fluoro-2-(trifluoromethyl)aniline alternative therapy to surgery. Case presentation: A 44-year-old Japanese woman, gravida 3 para 3, presented to our emergency room complaining of intermittent right flank pain. She had undergone a cesarean section 2 years previously, and had no history of abdominal trauma. On admission, her blood pressure was 115/78 mmHg, pulse 70 beats per minute, and hemoglobin concentration 9.8 g/dL. Abdominal ultrasonography and contrast-enhanced dynamic computed tomography revealed a large retroperitoneal hematoma. Findings on three-dimensional computed tomography angiography suggested ruptured aneurysm of her right ovarian artery. A selective right ovarian artery angiogram revealed a tortuous aneurysm. Transcatheter arterial embolization using N-butyl-2-cyanoacrylate was performed. The aneurysm was successfully embolized, and her course after embolization was uneventful. She has remained symptom-free during 3 months of follow-up. Conclusions: This was a very rare case of a patie.