Naslov
Abnormal uterine bleeding and severe anemia cause the life-threatening condition

Autori
Bursać, Danijel ; Culej, Diana ; Planinić Radoš, Gordana ; Župan, Josipa ; Perković, Pavo ; Duić, Željko ; Gašparov, Slavko

Izvornik
Clinical Journal of obstetrics and gynecology (2640-2890) 5 (2022); 096-097

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, pregledni rad, stručni

Ključne riječi
Abnormal uterine bleeding ; Anemia ; Coagulopathy

Sažetak
The World Health Organisation (WHO) defines anemia as a global public health problem. It is a medical condition in which the number of red blood cells or the haemoglobin concentration within them is below the physiological range. We present a case of a 40 year-old woman with Abnormal Uterine Bleeding (AUB) accompanied by malaise, weakness, and tachycardia. The patient reported heavy menstrual bleeding for the past 14 days. Speculum examination revealed that the bleeding was from the uterus. There were no pathological findings during a gynaecological and transvaginal ultrasound examination. A complete blood count performed at the time of her arrival showed a low haemoglobin level of 24 g/L, a low haematocrit level of 7, 4%, a mean corpuscular volume of 98, 7 fL and a number of red blood cells 0, 75 x 1012/L. Due to the severity of the anemia, she was given 6 units of red blood cell transfusion, 2 fresh frozen plasmas and tranexamic acid accompanied with calcium carbonate. The curettage was performed. The pathohistological finding was endometrium in proliferation. Afterward, the haemoglobin level increased to 90 g/L. Their past medical history revealed that she abused alcohol. On an abdominal CT scan, Alcohol-Related Liver Disease (ARLD) was confirmed. We should keep in mind that coagulopathy could be the underlying cause of abnormal uterine bleeding and that anemia must be analysed for successful treatment. A multidisciplinary approach to anemia caused by AUB is required in cases of severe anemia.

Izvorni jezik
Engleski

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