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[Aplastic anemia associated with ovarian bleeding]
Y Nehashi1, A Goto, J Nishimaki
1First Department of Internal Medicine, Tokyo Medical College, Japan.
[Rinsho Ketsueki] the Japanese Journal of Clinical Hematology
|November 1, 1995
Summary
Aplastic anemia can lead to rare ovarian bleeding, even after treatment. This case highlights the importance of considering gynecological complications in patients with abdominal pain and low platelets.
Area of Science:
- Hematology
- Gynecology
Background:
- Aplastic anemia is a rare bone marrow failure disorder.
- Treatment with anti-thymocyte globulin is a standard therapy.
Observation:
- A 22-year-old female with aplastic anemia presented with abdominal pain one month post-treatment.
- Computed tomography revealed significant intra-abdominal and pelvic hemorrhage.
- A large hematoma was identified originating from the right ovary.
Findings:
- The patient experienced severe abdominal pain attributed to ovarian bleeding.
- A partial oophorectomy was performed to manage the hemorrhage.
- Platelet count was critically low (1.3 x 10(4)/microliters) during the event.
Implications:
- Ovarian bleeding is an uncommon but serious complication of aplastic anemia.
- Clinicians should maintain a high index of suspicion for gynecological bleeding in affected patients presenting with abdominal pain.
- Prompt diagnosis and management are crucial to prevent life-threatening hemorrhage.