Ovarian Hematoma and Hemoperitoneum in Glanzmann\'s Thrombasthenia

Shalini Pandey; Padmaja Samant; Harshada Thakur

doi:10.5005/jp-journals-10006-2202

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Ovarian Hematoma and Hemoperitoneum in Glanzmann's Thrombasthenia

Shalini Pandey, Padmaja Samant, Harshada Thakur

Keywords : Autosomal recessive, Bleeding disorder, Glanzmann's thrombasthenia, Hemoperitoneum, Life-threatening, Ovarian hematoma, Rare

Citation Information : Pandey S, Samant P, Thakur H. Ovarian Hematoma and Hemoperitoneum in Glanzmann's Thrombasthenia. J South Asian Feder Obs Gynae 2023; 15 (2):244-245.

DOI: 10.5005/jp-journals-10006-2202

License: CC BY-NC 4.0

Published Online: 11-05-2023

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Abstract

Aim: This case report is aimed to study the treatment approach in a case of Glanzmann's thrombasthenia (GT) with ovarian hematoma and hemoperitoneum. Background: Glanzmann's thrombasthenia is an extremely rare life-threatening bleeding disorder that often presents with heavy menstrual bleeding in reproductive-age females. Case description: A 25-year-old patient presented to emergency with abdominal pain and heavy menstrual bleeding and ultrasonography suggestive of ovarian hematoma and hemoperitoneum. The patient was managed with blood and platelet transfusion and a conservative approach was adopted. Combined oral contraceptive pills were started for heavy menstrual bleeding. Conclusion: Management of GT is a challenge. Being an autosomal recessive disorder besides menstrual blood loss control, partner testing, and preconceptional and premarital counseling is critical. Clinical significance: A rarity of diseases poses a problem with no standardized approach and treatment options are mostly reliant on case studies or expert opinions.

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