Severe intrauterine adhesions after life‐threatening event caused by Epstein–Barr virus‐associated atraumatic spleen laceration: Case report
| Autor: | Yukiko Ando, Takahiro Ozaki, Masaya Hirose, Hiroshi Sato, Makiko Ikeda, Miho Masuda |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Abdominal compartment syndrome Mononucleosis business.industry medicine.medical_treatment Splenectomy Obstetrics and Gynecology medicine.disease Surgery Menstruation medicine.anatomical_structure medicine Amenorrhea Uterine cavity Hemoperitoneum medicine.symptom business Cervical canal |
| Zdroj: | Journal of Obstetrics and Gynaecology Research. 48:256-261 |
| ISSN: | 1447-0756 1341-8076 |
| Popis: | This is the first known case report of severe intrauterine adhesion (IUA) following a life-threatening event caused by an Epstein-Barr virus-associated atraumatic spleen laceration. A 22-year-old nulligravid female suffered from infectious mononucleosis for approximately 1 month. Sudden severe hypovolemic shock with massive hemoperitoneum appeared and hemostasis was completely achieved by a splenectomy for an atraumatic spleen laceration, although that was followed by multiorgan failure and abdominal compartment syndrome. Complete recovery without any neurological sequelae was achieved by intensive treatment. A postoperative pathological evaluation revealed Epstein-Barr virus-associated splenomegaly. The patient was referred to our department because of secondary amenorrhea for approximately 5 months since the last menstruation, which occurred just prior to the event. Laboratory blood test results demonstrated normal thyroid and ovarian functions. Hysterofiberscopy revealed complete obstruction at the end of the cervical canal, indicating secondary uterine amenorrhea caused by severe IUA. Hysteroscopic adhesiolysis with a rigid hysteroscope reached the opening of the uterine cavity and menstruation was restored. |
| Databáze: | OpenAIRE |
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