Henry Ford Hospital Medical Journal


Widespread parenteral drug abuse has led to an increase in mycotic aneurysms in the area of drug injection. We report an unusual case of ruptured mycotic aneurysm of the right external iliac artery in a pregnant woman who was a heroin addict. In the third trimester, she developed a large hematoma that resulted in intra-uterine fetal death, premature labor, and hypovolemic shock. This case presented a difficult diagnostic and therapeutic dilemma that was confused with the syndrome of ruptured utero-ovarian veins.