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Title: A case of delayed postoperative bleeding after excision of endometrial polyp using resectoscope in an infertile woman with von Willebrand disease: a case report and literature review
Authors: Okoshi, Chihiro
Takahashi, Toshifumi
Fukatsu, Masahiko
Suganuma, Ryota
Ikezoe, Takayuki
Fujimori, Keiya
Affiliation: 産科婦人科学講座
Source title: Fukushima Journal of Medical Science
Volume: 69
Issue: 3
Start page: 197
End page: 204
Issue Date: 2023
Abstract: Von Willebrand disease (VWD) is a bleeding disorder caused by a congenital quantitative reduction, deficiency, or qualitative abnormality of the von Willebrand factor (VWF). Here, we report a case of delayed postoperative bleeding in an infertile woman with endometrial polyps complicated by VWD. The patient was a 39-year-old infertile woman with type 2A VWD. At 38 years of age, she was referred to our hospital for infertility and heavy menstrual bleeding. Hysteroscopy revealed a 15-mm polyp lesion in the uterus. The patient was scheduled for transcervical resection (TCR) of the endometrial polyp. Gonadotropin-releasing hormone agonists were preoperatively administered to prevent menstruation. The VWF-containing concentrate was administered for 3 days according to guidelines. The patient was discharged on postoperative day 3 after confirming the absence of uterine bleeding. Uterine bleeding began on postoperative day 6. The patient was readmitted on postoperative day 7 and treated with VWF-containing concentrate for 5 days, after which hemostasis was confirmed. TCR surgery for endometrial lesions is classified as a minor surgery, and guidelines recommend short-term VWF-containing concentrate replacement. However, it should be kept in mind that only short-term VWF-containing concentrate replacement may cause rebleeding postoperatively.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/2202
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/2202/3/FksmJMedSci_69_p197.pdf
ISSN: 0016-2590
DOI: 10.5387/fms.2023-04
PubMed ID: 37853641
Related Page: https://doi.org/10.5387/fms.2023-04
Rights: © 2023 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license.
Rights: https://creativecommons.org/licenses/by-nc-sa/4.0/
Appears in Collections:Vol.69 (2023)

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FksmJMedSci_69_p197.pdf1.75 MBAdobe PDFDownload

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