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Massive hemoperitoneum due to a ruptured corpus luteum cyst in a patient with congenital hypofibrinogenemia.

Kim JH, Jeong SY, Cho DH - Obstet Gynecol Sci (2015)

Bottom Line: Hence, massive hemoperitoneum caused by ovulation in a woman with congenital afibrogenemia is also a very rare clinical condition.Massive hemoperitoneum usually presents as acute abdominal pain with potential findings of peritonitis including abdominal distention, hypotension and tachycardia with critical consequences.To the best of our knowledge, this was the first case report of such treatment in Korea.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Institute for Medical Sciences, Chonbuk National University Medical School, Jeonju, Korea.

ABSTRACT
Congenital afibrinogenemia/hypofibrinogenemia is a rare inherited hematologic disorder in which a patient lacks or has insufficient level of fibrinogen, the blood coagulation factor I. The incidence of this uncommon disease is 1 to 2 per 1 million individuals. Hence, massive hemoperitoneum caused by ovulation in a woman with congenital afibrogenemia is also a very rare clinical condition. Massive hemoperitoneum usually presents as acute abdominal pain with potential findings of peritonitis including abdominal distention, hypotension and tachycardia with critical consequences. We performed emergent endoscopic surgery for hemoperitoneum caused by a ruptured corpus luteum cyst in a patient with congenital hypofibrinogenemia. To the best of our knowledge, this was the first case report of such treatment in Korea.

No MeSH data available.


Related in: MedlinePlus

Intraoperative findings: the focus of bleeding from ruptured site of corpus luteum cyst of right ovary.
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Figure 2: Intraoperative findings: the focus of bleeding from ruptured site of corpus luteum cyst of right ovary.

Mentions: Within 2 hour of hospitalization, the hemoglobin level had decreased to 7.4 g/dL. Three units of red blood cell suspension and 6 units of fresh frozen plasma were transfused immediately. However, exploratory laparoscopy was performed since the hemodynamic parameters remained unstable and the abdominal distention worsened. Intraoperatively, approximately 2.5 L of blood was evacuated. We diagnosed a ruptured ovulatory follicle on the right ovary (Fig. 2). The main bleeding site was partially excised and cauterized, preserving the ovary. Intraoperatively, 3 more units of red blood cell suspension and 10 units of fresh frozen plasma were transfused. The postoperative period was uneventful and the patient was advised to take prolonged low-dose oral contraceptive pills.


Massive hemoperitoneum due to a ruptured corpus luteum cyst in a patient with congenital hypofibrinogenemia.

Kim JH, Jeong SY, Cho DH - Obstet Gynecol Sci (2015)

Intraoperative findings: the focus of bleeding from ruptured site of corpus luteum cyst of right ovary.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4588852&req=5

Figure 2: Intraoperative findings: the focus of bleeding from ruptured site of corpus luteum cyst of right ovary.
Mentions: Within 2 hour of hospitalization, the hemoglobin level had decreased to 7.4 g/dL. Three units of red blood cell suspension and 6 units of fresh frozen plasma were transfused immediately. However, exploratory laparoscopy was performed since the hemodynamic parameters remained unstable and the abdominal distention worsened. Intraoperatively, approximately 2.5 L of blood was evacuated. We diagnosed a ruptured ovulatory follicle on the right ovary (Fig. 2). The main bleeding site was partially excised and cauterized, preserving the ovary. Intraoperatively, 3 more units of red blood cell suspension and 10 units of fresh frozen plasma were transfused. The postoperative period was uneventful and the patient was advised to take prolonged low-dose oral contraceptive pills.

Bottom Line: Hence, massive hemoperitoneum caused by ovulation in a woman with congenital afibrogenemia is also a very rare clinical condition.Massive hemoperitoneum usually presents as acute abdominal pain with potential findings of peritonitis including abdominal distention, hypotension and tachycardia with critical consequences.To the best of our knowledge, this was the first case report of such treatment in Korea.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Institute for Medical Sciences, Chonbuk National University Medical School, Jeonju, Korea.

ABSTRACT
Congenital afibrinogenemia/hypofibrinogenemia is a rare inherited hematologic disorder in which a patient lacks or has insufficient level of fibrinogen, the blood coagulation factor I. The incidence of this uncommon disease is 1 to 2 per 1 million individuals. Hence, massive hemoperitoneum caused by ovulation in a woman with congenital afibrogenemia is also a very rare clinical condition. Massive hemoperitoneum usually presents as acute abdominal pain with potential findings of peritonitis including abdominal distention, hypotension and tachycardia with critical consequences. We performed emergent endoscopic surgery for hemoperitoneum caused by a ruptured corpus luteum cyst in a patient with congenital hypofibrinogenemia. To the best of our knowledge, this was the first case report of such treatment in Korea.

No MeSH data available.


Related in: MedlinePlus