Heamoperitoneum caused by heamorrhagic corpus luteum in a patient with type 3 von Willebrand’s disease

Gómez,; Lucia,; Perella,; Aguilar,

doi:10.1046/j.1365-2516.1998.00143.x

Cited by 23 publications

(23 citation statements)

References 14 publications

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“…Haemorrhagic ovarian cysts have also been reported in women with afibrinogenemia, factor X deficiency, factor XIII deficiency, platelet defects or in women who are haemophilia carriers [18]. Acutely, surgery, tranexamic acid and clotting factor replacement have been used to manage haemorrhagic ovarian cysts [19][20][21]. Oral contraceptives, which suppress ovulation and may increase clotting factors, have been used to prevent recurrences [21][22][23].…”

Section: Other Gynaecological Bleedingmentioning

confidence: 99%

Women and bleeding disorders

James

2010

Haemophilia

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Summary. While women are rarely affected by haemophilia, they are equally as likely as men to have other bleeding disorders. Menorrhagia, or heavy menstrual bleeding, is the most common symptom that they experience. Not only is menorrhagia more prevalent among women with bleeding disorders, but bleeding disorders are more prevalent among women with menorrhagia. Although menorrhagia is the most common reproductive tract manifestation of a bleeding disorder, it is not the only manifestation. Women with bleeding disorders appear to be at an increased risk of developing haemorrhagic ovarian cysts and possibly endometriosis. Women suspected of having a bleeding disorder or being a carrier of haemophilia should be offered diagnostic testing before getting pregnant to allow for appropriate preconception counselling and pregnancy management. During pregnancy, women with bleeding disorders may be at an increased risk of bleeding complications. At the time of childbirth, women with bleeding disorders appear to be more likely to experience postpartum haemorrhage, particularly delayed or secondary postpartum haemorrhage. As women with bleeding disorders grow older, they may be more likely to manifest gynaecological conditions which present with bleeding. Women with bleeding disorders are more likely to undergo a hysterectomy and are more likely to have the operation at a younger age. While women with bleeding disorders are at risk for the same obstetrical and gynaecological problems that affect all women, women with bleeding disorders are disproportionately affected by conditions that manifest with bleeding. Optimal management involves the combined expertise of haemostasis experts and obstetrician-gynaecologists.

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Section: Other Gynaecological Bleedingmentioning

confidence: 99%

Women and bleeding disorders

James

2010

Haemophilia

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“…There are multiple case reports of women with VWD experiencing hemorrhagic ovarian cysts (11,10,(69)(70)(71)(72)(73). Silwer reported that 9 of 136 women with VWD (6.8%) experienced this problem (19).…”

Section: Other Gynecologic Problemsmentioning

confidence: 99%

“…In a CDC survey of 102 women with VWD, 52% reported a history of ovarian cysts compared with 22% of control subjects (15). Surgical therapy, tranexamic acid, and factor replacement have been used acutely to manage hemorrhagic ovarian cysts (11,69,72). Oral contraceptives, which increase coagulation factors while suppressing ovulation, have been used to prevent recurrences (69,70,73).…”

Section: Other Gynecologic Problemsmentioning

confidence: 99%

Von Willebrand Disease

James

2006

Obstetrical & Gynecological Survey

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“…Corpus luteum hemorrhage may go unnoticed in healthy women; however, corpus luteum hemorrhage may lead to life‐threatening intraperitoneal hemorrhage in women with bleeding disorders 1 . Corpus luteum rupture resulting in hemoperitoneum has been described in women with various bleeding disorders, such as hemophilia, afibrinogenemia, von Willebrand disease, and factor X, VII and V deficiencies 2–5 . Nevertheless, few reports have described corpus luteum hemorrhage in patients with aplastic anemia (AA) 6,7 .…”

Section: Introductionmentioning

confidence: 99%

Corpus luteum hemorrhage in a patient with aplastic anemia

Sun

Chen

et al. 2012

J of Obstet and Gynaecol

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Corpus luteum hemorrhage may lead to a life-threatening intraperitoneal hemorrhage in women with bleeding disorders. A 17-year-old girl with aplastic anemia presented to the emergency ward with complaints of severe abdominal pain for the last 24h. On examination, she was noted to be pale with circulatory compromise. Transabdominal pelvic ultrasonography revealed a left complex adnexal mass, 6.9×5.1×5.1cm(3) in size, with a large anechoic area of fluid in the abdomen. On laparoscopic exploration, there was a massive hemoperitoneum (2.6L) with a ruptured corpus luteum on the surface of the left ovary. Hemostatic electric coagulation was successfully applied to the bleeding surface. The patient recovered without incident and was transferred to a special hospital for blood disease treatment one week after surgery. We concluded that corpus luteum hemorrhage in women with aplastic anemia can cause therapeutic difficulties. Laparoscopy is feasible for the management of a massive intraperitoneal hemorrhage secondary to a ruptured corpus luteum in such patients.

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Heamoperitoneum caused by heamorrhagic corpus luteum in a patient with type 3 von Willebrand’s disease

Cited by 23 publications

References 14 publications

Women and bleeding disorders

Women and bleeding disorders

Von Willebrand Disease

Corpus luteum hemorrhage in a patient with aplastic anemia

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