• J. Pediatr. Hematol. Oncol. · Nov 2006

    Case Reports

    An extremely uncommon complication of ITP: spontaneous rupture of an ovarian follicle cyst and massive intra-abdominal bleeding.

    • Sebnem Yilmaz, Fatih Demircioğlu, Meral Türker, Hale Oren, Handan Cakmakçi, and Gülersu Irken.
    • Department of Pediatric Hematology, Dokuz Eylül University Faculty of Medicine, Izmir, Turkey.
    • J. Pediatr. Hematol. Oncol. 2006 Nov 1;28(11):755-6.

    AbstractIdiopathic 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.

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