|
福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.69 (2023) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/2202
|
| タイトル: | 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 |
| 著者: | Okoshi, Chihiro
Takahashi, Toshifumi
Fukatsu, Masahiko
Suganuma, Ryota
Ikezoe, Takayuki
Fujimori, Keiya |
| 学内所属: | 産科婦人科学講座
ふくしま子ども・女性医療支援センター
血液内科学講座 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 69 |
| 号: | 3 |
| 開始ページ: | 197 |
| 終了ページ: | 204 |
| 発行日: | 2023年 |
| 抄録: | 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. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/2202 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/2202/3/FksmJMedSci_69_p197.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.2023-04 |
| PubMed番号: | 37853641 |
| 関連ページ: | https://doi.org/10.5387/fms.2023-04 |
| 権利情報: | © 2023 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license. |
| 権利情報: | https://creativecommons.org/licenses/by-nc-sa/4.0/ |
| 出現コレクション: | Vol.69 (2023)
|
このリポジトリに保管されているアイテムは、他に指定されている場合を除き、著作権により保護されています。
|
