Bleeding versus Clotting: A Complex Case of a Large Fibroid Uterus Causing Menorrhagia and a DVT
المؤلفون المشاركون
Ramanan, Sangeeta
Chapman-Wardy, Jude
Watson, Roy
المصدر
Case Reports in Obstetrics and Gynecology
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-08-14
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
A 43-year-old woman presented with severe anaemia secondary to menorrhagia.
Pelvic ultrasound showed a large intramural posterior fundal fibroid.
Hysteroscopy showed the fibroid distorting the endometrial cavity, precluding Mirena® device insertion.
As she was initially hesitant to have a hysterectomy, medical management with the oral contraceptive pill (OCP) and tranexamic acid was instituted, with good effect.
Months later, after a long road trip, she presented with left leg swelling, and a Doppler ultrasound confirmed an extensive deep vein thrombosis (DVT).
She was commenced on warfarin for anticoagulation but presented again with menorrhagia precipitated by overanticoagulation.
After initial stabilization with multiple blood transfusions and reversal of anticoagulation, the warfarin was ceased in favour of enoxaparin and she underwent inferior vena cava (IVC) filter insertion prior to a total abdominal hysterectomy.
Mass effect from large uterine fibroids can cause venous thromboembolism (VTE).
A duplex ultrasound of the lower limbs if a woman presents with a large fibroid could identify asymptomatic DVTs in such women.
A prehysterectomy IVC filter would then reduce their risk of postoperative pulmonary embolism.
Medical management of menorrhagia with procoagulants should be avoided for management of menorrhagia in such women given their higher risk of developing VTE.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ramanan, Sangeeta& Chapman-Wardy, Jude& Watson, Roy. 2016. Bleeding versus Clotting: A Complex Case of a Large Fibroid Uterus Causing Menorrhagia and a DVT. Case Reports in Obstetrics and Gynecology،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101532
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ramanan, Sangeeta…[et al.]. Bleeding versus Clotting: A Complex Case of a Large Fibroid Uterus Causing Menorrhagia and a DVT. Case Reports in Obstetrics and Gynecology No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1101532
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ramanan, Sangeeta& Chapman-Wardy, Jude& Watson, Roy. Bleeding versus Clotting: A Complex Case of a Large Fibroid Uterus Causing Menorrhagia and a DVT. Case Reports in Obstetrics and Gynecology. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101532
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1101532
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر