Postpartum hemorrhage and prolonged hyperfibrinolysis as complications of uterine cavernous hemangioma: a case report and literature review
Background: Uterinecavernous hemangioma can cause persistent vaginal bleeding or massive hemorrhage and can lead to severe pregnancy complications. Case: A 23-year old woman with cutaneous hemangiomas presented for caesarean delivery of her second child nine days after successful delivery, she was a...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
IMR Press
2021-08-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/CEOG/48/4/10.31083/j.ceog4804157 |
| _version_ | 1818205765554405376 |
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| author | Xue-Li Bai Xia Cao |
| author_facet | Xue-Li Bai Xia Cao |
| author_sort | Xue-Li Bai |
| collection | DOAJ |
| description | Background: Uterinecavernous hemangioma can cause persistent vaginal bleeding or massive hemorrhage and can lead to severe pregnancy complications. Case: A 23-year old woman with cutaneous hemangiomas presented for caesarean delivery of her second child nine days after successful delivery, she was admitted with severe postpartum hemorrhage and disseminated intravascular coagulation (DIC). A hysterectomy was performed as a result. The diagnosis of cavernous uterine hemangioma was made only on histopathological examination. In addition, an atypically extended period of refractory fibrinolytic hyperactivity developed after hysterectomy. Such extensive hyperfibrinolysis has not previously been reported in conjunction with hysterectomy. Conclusion: This case underscores the importance of cavernous uterine hemangioma as one of the causes of refractory uterine bleeding at the time of operation delivery. The definitive diagnosis can be made only on histological examination. Changes in the coagulation mechanism should be monitored closely during postpartum, and clinicians should be aware of the possibility of fibrinolytic hyperactivity. |
| first_indexed | 2024-12-12T04:02:20Z |
| format | Article |
| id | doaj.art-5115041d47d54d7c9fbae68ab80ab20a |
| institution | Directory Open Access Journal |
| issn | 0390-6663 |
| language | English |
| last_indexed | 2024-12-12T04:02:20Z |
| publishDate | 2021-08-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj.art-5115041d47d54d7c9fbae68ab80ab20a2022-12-22T00:38:58ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632021-08-0148498799010.31083/j.ceog4804157S0390-6663(21)00179-2Postpartum hemorrhage and prolonged hyperfibrinolysis as complications of uterine cavernous hemangioma: a case report and literature reviewXue-Li Bai0Xia Cao1Department of Gynecology, The Fourth Affiliated Hospital of China Medical University, 110004 Shenyang, Liaoning, ChinaDepartment of Gynecology, The Fourth Affiliated Hospital of China Medical University, 110004 Shenyang, Liaoning, ChinaBackground: Uterinecavernous hemangioma can cause persistent vaginal bleeding or massive hemorrhage and can lead to severe pregnancy complications. Case: A 23-year old woman with cutaneous hemangiomas presented for caesarean delivery of her second child nine days after successful delivery, she was admitted with severe postpartum hemorrhage and disseminated intravascular coagulation (DIC). A hysterectomy was performed as a result. The diagnosis of cavernous uterine hemangioma was made only on histopathological examination. In addition, an atypically extended period of refractory fibrinolytic hyperactivity developed after hysterectomy. Such extensive hyperfibrinolysis has not previously been reported in conjunction with hysterectomy. Conclusion: This case underscores the importance of cavernous uterine hemangioma as one of the causes of refractory uterine bleeding at the time of operation delivery. The definitive diagnosis can be made only on histological examination. Changes in the coagulation mechanism should be monitored closely during postpartum, and clinicians should be aware of the possibility of fibrinolytic hyperactivity.https://www.imrpress.com/journal/CEOG/48/4/10.31083/j.ceog4804157cavernous hemangiomapostpartum hemorrhagehyperfibrinolysis |
| spellingShingle | Xue-Li Bai Xia Cao Postpartum hemorrhage and prolonged hyperfibrinolysis as complications of uterine cavernous hemangioma: a case report and literature review Clinical and Experimental Obstetrics & Gynecology cavernous hemangioma postpartum hemorrhage hyperfibrinolysis |
| title | Postpartum hemorrhage and prolonged hyperfibrinolysis as complications of uterine cavernous hemangioma: a case report and literature review |
| title_full | Postpartum hemorrhage and prolonged hyperfibrinolysis as complications of uterine cavernous hemangioma: a case report and literature review |
| title_fullStr | Postpartum hemorrhage and prolonged hyperfibrinolysis as complications of uterine cavernous hemangioma: a case report and literature review |
| title_full_unstemmed | Postpartum hemorrhage and prolonged hyperfibrinolysis as complications of uterine cavernous hemangioma: a case report and literature review |
| title_short | Postpartum hemorrhage and prolonged hyperfibrinolysis as complications of uterine cavernous hemangioma: a case report and literature review |
| title_sort | postpartum hemorrhage and prolonged hyperfibrinolysis as complications of uterine cavernous hemangioma a case report and literature review |
| topic | cavernous hemangioma postpartum hemorrhage hyperfibrinolysis |
| url | https://www.imrpress.com/journal/CEOG/48/4/10.31083/j.ceog4804157 |
| work_keys_str_mv | AT xuelibai postpartumhemorrhageandprolongedhyperfibrinolysisascomplicationsofuterinecavernoushemangiomaacasereportandliteraturereview AT xiacao postpartumhemorrhageandprolongedhyperfibrinolysisascomplicationsofuterinecavernoushemangiomaacasereportandliteraturereview |