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
Lupusjournal_title
Lupusauthors
Crétel E,Cacoub P,Huong DL,Gompel A,Amoura Z,Piette JCdoi
10.1177/096120339900800614subject
Has Abstractpub_date
1999-01-01 00:00:00pages
482-5issue
6eissn
0961-2033issn
1477-0962journal_volume
8pub_type
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