An extremely uncommon complication of ITP: spontaneous rupture of an ovarian follicle cyst and massive intra-abdominal bleeding.
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.
Yilmaz
Sebnem
S
Department of Pediatric Hematology, Dokuz Eylül University Faculty of Medicine, Izmir, Turkey.
Demircioğlu
Fatih
F
Türker
Meral
M
Oren
Hale
H
Cakmakçi
Handan
H
Irken
Gülersu
G
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
D008775:Methylprednisolone