Successful Conservative Management of Massive Hemoperitoneum in Patients on Anticoagulation with Ruptured Hemorrhagic Ovarian Cyst: A Report of Two Cases and Review of Literature

Ghasemian Dizaj Mehr, Sedigheh; Bahadori, Robabeh

doi:10.30699/jogcr.9.2.231

Document Type : Case Report Article

Authors

¹ Department of Obstetrics and Gynecology, School of Medicine, Urmia University of Medical Science. Urmia, Iran

² Reproductive Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran

https://doi.org/10.30699/jogcr.9.2.231

Abstract

Management of hemoperitoneum due to ruptured ovarian cyst in patients on anticoagulation is a dilemma. Low threshold of surgery intervention may increase the risk of some events operatively. There is a trend for less invasive treatment in highly selected patients. We present two cases of massive hemoperitoneum due to ruptured ovarian cyst that were on anticoagulation. Successful conservative management was done in both of them and one patient, due to refractory abdominal pain, required interventional radiologic drainage, instead of surgery approach with good outcome. Ovulation suppression was started in both of them with regular uneventful follow up heretofore. Less invasive management is preferred in carefully selected patients of hemoperitoneum in women on anticoagulation. Ovulation suppression to avoid recurrence must be emphasized.

Keywords

Main Subjects

Obstetrics and Gynecology

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Journal of Obstetrics, Gynecology and Cancer Research

Successful Conservative Management of Massive Hemoperitoneum in Patients on Anticoagulation with Ruptured Hemorrhagic Ovarian Cyst: A Report of Two Cases and Review of Literature

References

References

Volume 9, Issue 2 - Serial Number 37
March and April 2024
Pages 231-234

Successful Conservative Management of Massive Hemoperitoneum in Patients on Anticoagulation with Ruptured Hemorrhagic Ovarian Cyst: A Report of Two Cases and Review of Literature

References

References

Volume 9, Issue 2 - Serial Number 37March and April 2024Pages 231-234

Volume 9, Issue 2 - Serial Number 37
March and April 2024
Pages 231-234