| Severe intra-abdominal haemorrhage: a consequence of two coinciding events. | |
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MedLine Citation:
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PMID: 17728948 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Idiopathic thrombocytopenic purpura, an immune-mediated disease, usually has a relatively benign clinical course. Bleeding manifestations are mostly mucocutaneous and mild. Massive haemorrhages requiring transfusions or other interventions are rare, unless platelet counts are extremely low or other complicating conditions coexist. The rupture of an ovarian follicle is a very common benign condition in women of the reproductive age group. Any associated bleeding is unlikely to be significant, unless there is an underlying severe haemostatic derangement. We describe a 24-year-old Filipino woman presenting with severe abdominal pain and intra-abdominal haemorrhage requiring laparotomy, which revealed massive haemoperitoneum and a ruptured ovarian follicle. She had thrombocytopenia secondary to previously undiagnosed idiopathic thrombocytopenic purpura. This case illustrates how a combination of two otherwise common and benign clinical entities can result in a rare and potentially life-threatening event. |
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Authors:
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A Lateef; Y K Kueh |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Singapore medical journal Volume: 48 ISSN: 0037-5675 ISO Abbreviation: Singapore Med J Publication Date: 2007 Sep |
Date Detail:
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Created Date: 2007-08-30 Completed Date: 2007-11-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0404516 Medline TA: Singapore Med J Country: Singapore |
Other Details:
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Languages: eng Pagination: e237-9 Citation Subset: IM |
Affiliation:
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Department of Medicine, National University Hospital, Singapore. aisha@nuh.com.sg |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Hemoperitoneum / etiology* Humans Ovarian Diseases / complications* Ovarian Follicle* Purpura, Thrombocytopenic, Idiopathic / complications* Rupture, Spontaneous / complications |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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