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  1. 福島医学会
  2. Fukushima Journal of Medical Science
  3. Vol.69 (2023)

A case of delayed postoperative bleeding after excision of endometrial polyp using resectoscope in an infertile woman with von Willebrand disease: a case report and literature review

https://fmu.repo.nii.ac.jp/records/2002086
https://fmu.repo.nii.ac.jp/records/2002086
590cea24-89af-44bb-808d-d07a9c27d964
名前 / ファイル ライセンス アクション
FksmJMedSci_69_p197.pdf FksmJMedSci_69_p197.pdf (1.7 MB)
Item type デフォルトアイテムタイプ(フル)fmu(1)
公開日 2023-11-22
タイトル
タイトル A case of delayed postoperative bleeding after excision of endometrial polyp using resectoscope in an infertile woman with von Willebrand disease: a case report and literature review
言語 en
作成者 Okoshi, Chihiro

× Okoshi, Chihiro

en Okoshi, Chihiro

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Takahashi, Toshifumi

× Takahashi, Toshifumi

en Takahashi, Toshifumi

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Fukatsu, Masahiko

× Fukatsu, Masahiko

en Fukatsu, Masahiko

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Suganuma, Ryota

× Suganuma, Ryota

en Suganuma, Ryota

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Ikezoe, Takayuki

× Ikezoe, Takayuki

en Ikezoe, Takayuki

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Fujimori, Keiya

× Fujimori, Keiya

en Fujimori, Keiya

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権利情報
権利情報Resource https://creativecommons.org/licenses/by-nc-sa/4.0/
権利情報 © 2023 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license.
内容記述
内容記述タイプ Abstract
内容記述 Von Willebrand disease (VWD) is a bleeding disorder caused by a congenital quantitative reduction, deficiency, or qualitative abnormality of the von Willebrand factor (VWF). Here, we report a case of delayed postoperative bleeding in an infertile woman with endometrial polyps complicated by VWD. The patient was a 39-year-old infertile woman with type 2A VWD. At 38 years of age, she was referred to our hospital for infertility and heavy menstrual bleeding. Hysteroscopy revealed a 15-mm polyp lesion in the uterus. The patient was scheduled for transcervical resection (TCR) of the endometrial polyp. Gonadotropin-releasing hormone agonists were preoperatively administered to prevent menstruation. The VWF-containing concentrate was administered for 3 days according to guidelines. The patient was discharged on postoperative day 3 after confirming the absence of uterine bleeding. Uterine bleeding began on postoperative day 6. The patient was readmitted on postoperative day 7 and treated with VWF-containing concentrate for 5 days, after which hemostasis was confirmed. TCR surgery for endometrial lesions is classified as a minor surgery, and guidelines recommend short-term VWF-containing concentrate replacement. However, it should be kept in mind that only short-term VWF-containing concentrate replacement may cause rebleeding postoperatively.
出版者
出版者 The Fukushima Society of Medical Science
言語
言語 eng
書誌情報 en : Fukushima Journal of Medical Science

巻 69, 号 3, p. 197-204, 発行日 2023
関連情報
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.5387/fms.2023-04
関連情報
識別子タイプ PMID
関連識別子 37853641
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0016-2590
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 2185-4610
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AA0065246X
主題
主題Scheme Other
主題 von Willebrand disease
主題
主題Scheme Other
主題 endometrial polyp
主題
主題Scheme Other
主題 polypectomy
主題
主題Scheme Other
主題 uterine bleeding
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