Life-threatening bleeding secondary to adenomyosis: a case report

Authors

  • Constance Wing-Kei CHAN
  • Chun-Hung YU

DOI:

https://doi.org/10.12809/hkjgom.20.2.05

Keywords:

Adenomyosis, dysmenorrhoea, disseminated intravascular coagulopathy, shock

Abstract

Adenomyosis is a common benign gynaecological disorder. However, it may lead to life-threatening bleeding and complications. We report one such case in a 26-year-old woman who was complicated with disseminated intravascular coagulopathy, shock, and renal failure. She underwent emergency hysterectomy as a life-saving procedure.

References

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Vercellini P, Ragni G, Trespidi L, Oldani S, Panazza S, Crosignani PG. Adenomyosis: a deja vu? Obstet Gynecol Surv 1993;48:789-94.

Ding DC, Chu TY, Liu JY. Menstruation-induced uterine rupture. Int J Gynaecol Obstet 2000;69:171-2.

Nakamura Y, Kawamura N, Ishiko O, Ogita S. Acute disseminated intravascular coagulation developed during menstruation in an adenomyosis patient. Arch Gynecol Obstet 2002;267:110-2.

Yoo HJ, Chang DS, Lee KH. Acute renal failure induced by disseminated intravascular coagulopathy in a patient with adenomyosis. J Obstet Gynaecol Res 2012;38:593-6.

Oyelese Y, Ananth CV. Placental abruption. Obstet Gynecol 2006;108:1005-16.

Schwartz MD, Repine JE, Abraham E. Hemorrhagic shock and ARDS: blood loss rapidly induces pulmonary cytokine expression through an oxygen-radical dependent mechanism. Crit Care Med 1995;23:A110.

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Published

2023-04-06

How to Cite

1.
CHAN CW-K, YU C-H. Life-threatening bleeding secondary to adenomyosis: a case report. Hong Kong J Gynaecol Obstet Midwifery [Internet]. 2023 Apr. 6 [cited 2024 Nov. 21];20(2). Available from: https://hkjgom.org/home/article/view/287

Issue

Section

Case Report