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Successful conservative management of massive pelvic haematoma following a corpus luteal cyst rupture in a patient with Glanzmann’s thrombasthenia – case report and literature review

Tasneem Rangwala, Lama Khalid, Ghada Anis Rassam
Published in : HAMDAN MEDICAL JOURNAL ; Vol 6, No 3 (2013)
DOI : 10.7707/hmj.v6i3.262

Abstract


Glanzmanns thrombasthenia (GT) is a rare genetic disorder characterized by a lack of platelet aggregation and subsequent bleeding as a result of the absence or dysfunction of the platelet glycoprotein IIb/IIIa complex. We report a case of a 22-year-old woman presenting with massive pelvic haemorrhage after ovarian cyst rupture. This is an unusual complication of this disorder and only two cases have been reported in the literature to date. The patient was managed conservatively with blood transfusion, tranexamic acid and the combined hormone pill. This case highlights the importance of haematologist involvement in patient care and supportive medical management before embarking on surgical interference in cases of coagulation disorders.


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