Massive ovarian haemorrhage complicating oral anticoagulation in the antiphospholipid syndrome: a report of three cases.

Abstract:

:We report three cases of severe haemorrhagic rupture of luteal ovarian cyst requiring surgical haemostasis in young women treated with long-term oral anticoagulation for antiphospholipid syndrome (APS) who used no contraception. At the time of bleeding, the international normalized ratios were 3.78, 4.24, and 7.11. Anticoagulation was resumed post-operatively, in association with antigonadotropic progestins to induce ovulatory suppression. A systematic use of these progestins should probably be discussed in young women receiving long-term warfarin for APS. Ovarian haemorrhage must be considered when such patients develop acute abdominal pain.

journal_name

Lupus

journal_title

Lupus

authors

Crétel E,Cacoub P,Huong DL,Gompel A,Amoura Z,Piette JC

doi

10.1177/096120339900800614

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

482-5

issue

6

eissn

0961-2033

issn

1477-0962

journal_volume

8

pub_type

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