title: An extremely uncommon complication of ITP: spontaneous rupture of an ovarian follicle cyst and massive intra-abdominal bleeding.
abstract: Idiopathic thrombocytopenic purpura usually presents with minor bleeding such as petechia and purpura. Rarely, life-threatening events as intracranial and intra-abdominal bleedings can be seen. We would like to present a rare case diagnosed as idiopathic thrombocytopenic purpura, presenting with abdominal pain and paleness. In this 17-year-old female patient, extensive abdominal sensitivity was revealed on physical examination and massive intra-abdominal hemorrhage secondary to distended ovarian follicle rupture was seen on ultrasonography and abdominal computed tomography. The case was treated successfully with intravenous immunoglobin, thrombocyte suspension, and pulse methylprednisolone.
authors.affiliation: Department of Pediatric Hematology, Dokuz Eylül University Faculty of Medicine, Izmir, Turkey.
authors.forename: Sebnem
authors.initials: S
authors.lastname: Yilmaz
authors.forename: Fatih
authors.initials: F
authors.lastname: Demircioğlu
authors.forename: Meral
authors.initials: M
authors.lastname: Türker
authors.forename: Hale
authors.initials: H
authors.lastname: Oren
authors.forename: Handan
authors.initials: H
authors.lastname: Cakmakçi
authors.forename: Gülersu
authors.initials: G
authors.lastname: Irken
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D005260:Female; D005497:Follicular Cyst / Q000150:complications; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008775:Methylprednisolone / Q000627:therapeutic use; D010048:Ovarian Cysts / Q000150:complications*; D016553:Purpura, Thrombocytopenic, Idiopathic; D012422:Rupture, Spontaneous
chemical_list: D008775:Methylprednisolone