Secondary syphilis in the third trimester of pregnancyRyosuke Tajiri, Emi Kondo, Yuma Saito, Mao Sekimata, Yasuyuki Kinjo, Hiroshi Mori, Kiyoshi YoshinoFacilities: Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, JapanIseigaoka, Yahatanishi-ku, Kitakyushu 807-8555, Japan.Corresponding author: Dr. Ryosuke TajiriDepartment of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health. Japan, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8555, Japan.Tel: +81-93-603-1611, Fax: +81-93-691-8892e-mail:[email protected] statement: Written informed consent was obtained from the patient to publish this report in accordance with the journal’s patient consent policy.

A 41-year-old woman was admitted with hemorrhagic shock with abdominal and right flank pain four days after undergoing cesarean delivery. Contrast-enhanced computed tomography revealed a large retroperitoneal hematoma. Angiography showed a ruptured right ovarian artery aneurysm, anastomosing with a dilated uterine artery. She was successfully treated with transcatheter arterial embolization.

There are few reports on pregnancy and childbirth of HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) patients. We present a woman who diagnosed with HAM/TSP and used a wheelchair in daily life. She had no neurological impairments and no obstetrical complications during her three courses of pregnancy and childbirth.