SPONTANEOUS HEMOPERITONEUM IN A CASE OF BLEEDING DIATHESIS. CHANGING TRENDS

Author:

Govindarajulu Chandramouli1,Gayathre, M.S S.P.2,Kumar, M.S M. Senthil3

Affiliation:

1. Institute of General Surgery, Madras Medical College, Chennai, Tamil Nadu, India, 600003

2. Institute of General Surgery, Madras Medical College, Chennai, Tamilnadu600003.

3. Institute of General Surgery, Madras Medical College, Chennai, Tamilnadu,600003.

Abstract

Background: In woman with Coagulation disorder, spontaneous massive hemoperitoneum is a lethal Complication. Woman with Factor X (Stuart Prower) factor deficiency and von Willebrand disease are particularly prone for massive hemoperitoneum, which most of the times will be serious and life threatening, if not managed appropriately. Description: We report on a 25 year unmarried woman, with Factor X deficiency who presented to us with a massive Spontaneous Hemoperitoneum. This patient in the past (2016 )have undergone an Exploratory Laparotomy , for similar presentation, in our Institution by a team of Surgeons & Gynaecologist with ligation of bleeding region in the left Ovary. Conclusion: Multimodality approach (as in Oncology) will be the Management Protocol in the future for this life threatening condition, with the Surgical faculty incorporating the developing specialities such as Intervention Radiology and Applied Hematology.

Publisher

World Wide Journals

Reference6 articles.

1. Conservative management of Hemoperitoneum in von wilebrands disease: Terzic M, Likic I, Pilic I, Bila J, Knezevic N. Conservative management of massive hematoperitoneum caused by ovulation in a patient with severe form of von Willebrand disease--a case report. Clin Exp Obstet Gynecol. 2012;39(4):537-40. PMID: 23444764.

2. Droegmueller W. Benign gynecologic lesions. In: Stenchever MA, Droegmueller W, Herbst AI, Mishell DR, eds. Comprehensive gynecology. 4th ed. St. Louis, MO: Mosby, 2001:507–11.

3. Von wilebrands disease presenting as recurrent corpus haemarrhagicum. Jarvis RR, Olsen ME. Type I von Willebrand's disease presenting as recurrent corpus hemorrhagicum. Obstet Gynecol. 2002 May;99(5 Pt 2):887-8. doi: 10.1016/s0029-7844(01)01627-1. PMID: 11975946.

4. Congenital Factor X Deficiency in Woman: Spiliopoulos D, Kadir RA. Congenital Factor X deficiency in women: A systematic review of the literature. Haemophilia. 2019 Mar;25(2):195-204. doi: 10.1111/hae.13729. PMID: 30901144.

5. Prevention of Hemoperitoneum during Ovulation: Bottini E, Pareti FI, Mari D, Mannucci PM, Muggiasca ML, Conti M. Prevention of hemoperitoneum during ovulation by oral contraceptives in women with type III von Willebrand disease and afibrinogenemia. Case reports. Haematologica. 1991 Sep-Oct;76(5):431-3. PMID: 1806451.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3