Conservative management of massive hematoperitoneum caused by ovulation in a patient with severe form of von Willebrand disease - A case report

M. Terzic, I. Likic, I. Pilic, J. Bila, N. Knezevic

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Von Willebrand disease (VWD) is the most common inherited bleeding condition that involves extended or excessive bleeding, caused by the deficiency or defect of von Willebrand factor (VWF). Hematoperitoneum as a complication of gynecologic diseases represents acute condition which is usually caused by the hemorrhagic corpus luteum or a rupture of either ectopic pregnancy or a hemorrhagic ovarian cyst. The authors present a unique case of conservatively managed massive hematoperitoneum caused by ovulation in a patient with severe form of von Willebrand disease who had right adnexectomy due to hemorrhagic corpus luteum four months prior. This conservative management by blood product and factor concentrate support could be a method of choice in selected hemodynamically stable patients. Furthermore, recurrent bleeding episodes following ovulation could be prevented by suppression of ovulation using oral contraceptive pills.

Original languageEnglish
Pages (from-to)537-540
Number of pages4
JournalClinical and Experimental Obstetrics and Gynecology
Volume39
Issue number4
Publication statusPublished - Dec 1 2012
Externally publishedYes

Fingerprint

Type 3 Von Willebrand's Disease
Ovulation
Corpus Luteum
Hemorrhage
Ovulation Inhibition
Female Genital Diseases
von Willebrand Diseases
Ovarian Cysts
Ectopic Pregnancy
von Willebrand Factor
Oral Contraceptives
Rupture
Conservative Treatment

Keywords

  • Conservative management
  • Hematoperitoneum
  • Ovulation
  • Von Willebrand disease

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

Cite this

Conservative management of massive hematoperitoneum caused by ovulation in a patient with severe form of von Willebrand disease - A case report. / Terzic, M.; Likic, I.; Pilic, I.; Bila, J.; Knezevic, N.

In: Clinical and Experimental Obstetrics and Gynecology, Vol. 39, No. 4, 01.12.2012, p. 537-540.

Research output: Contribution to journalArticle

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