[Hemoperitoneum and pregnancy in a patient with von Willebrand's disease type 3].
A 24-year-old woman with type 3 (characterised by a blood level of von Willebrand factor less than 1%) was admitted to the surgical intensive care unit with an haemorrhagic shock. She was pregnant (Beta HCG = 115 Ul.L-1), the echography of the abdomen, soon after admission, revealed a haemoperitoeum. She underwent abdominal surgery after substitution treatment. The surgeon found an ovarian haemorrhagic cyst. Later the course of pregnancy was normal and she was delivered by caesarean section. We describe the therapeutic strategy of that care.
Pommier
C
C
Service de réanimation polyvalente, hôpital St Joseph-St Luc, 9, rue du Pr Grignard, 69007 Lyon, France. ccpommier@free.fr
Perrin
C
C
Dorne
R
R
De Roissard
J P
JP
Arnould
P
P
D000328:Adult; D005260:Female; D006465:Hemoperitoneum / Q000150:complications / Q000628:therapy*; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D012771:Shock, Hemorrhagic / Q000209:etiology / Q000628:therapy; D014842:von Willebrand Diseases / Q000150:complications*