Acute disseminated intravascular coagulation developed during menstruation in an adenomyosis patient

We report a case of acute disseminated intravascular coagulation (DIC) developed during menstruation in an adenomyosis patient. No known predisposing factor for DIC such as infection or pregnancy was involved in this case. As anticoagulation therapy and supplementation of coagulation factors quickly...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2002-12, Vol.267 (2), p.110-112
Main Authors: Nakamura, Y, Kawamura, N, Ishiko, O, Ogita, S
Format: Article
Language:English
Subjects:
Acute Disease
Adult
Anticoagulants - therapeutic use
Blood Coagulation Factors - therapeutic use
Blood Transfusion
Disseminated Intravascular Coagulation - diagnosis
Disseminated Intravascular Coagulation - etiology
Disseminated Intravascular Coagulation - therapy
Endometriosis - complications
Female
Humans
Hysterectomy
Magnetic Resonance Imaging
Menstruation
Menstruation - physiology
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Summary:We report a case of acute disseminated intravascular coagulation (DIC) developed during menstruation in an adenomyosis patient. No known predisposing factor for DIC such as infection or pregnancy was involved in this case. As anticoagulation therapy and supplementation of coagulation factors quickly improve the state, surgical removal of the uterus was not required. We speculate that hemorrhage in the adenomyosis legion and subsequent local thrombosis played crucial role in pathophysiology of this case of acute DIC.
ISSN:0932-0067
1432-0711
DOI:10.1007/s004040100243