Life-Threatening Complications of Hormonal Contraceptives: A Case History
We present a case with the rare combination of thrombotic and hemorrhagic complications of oral contraceptives. A healthy 40-year-old woman suffered from cardiac arrest due to massive pulmonary embolism, caused by oral contraceptives and immobilization during a flight. After successful resuscitation...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2013/186230 |
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| author | Saheed Khan Yvo M. Smulders Johanna I. P. de Vries Angélique M. E. Spoelstra-de Man |
| author_facet | Saheed Khan Yvo M. Smulders Johanna I. P. de Vries Angélique M. E. Spoelstra-de Man |
| author_sort | Saheed Khan |
| collection | DOAJ |
| description | We present a case with the rare combination of thrombotic and hemorrhagic complications of oral contraceptives. A healthy 40-year-old woman suffered from cardiac arrest due to massive pulmonary embolism, caused by oral contraceptives and immobilization during a flight. After successful resuscitation, obstructive shock necessitated thrombolysis and thereafter heparin. Anticoagulation was complicated by internal bleeding from contraceptive related hepatic adenoma. She underwent arterial embolisation, and anticoagulation was continued. On day 18, she was discharged in a good condition. Hepatic adenomas are a potential source of internal bleeding in women using oral contraceptives requiring anticoagulation. Signs of internal bleeding in such patients should prompt immediate abdominal ultrasound examination. |
| format | Article |
| id | doaj-art-afc4bca75f5449b8b7c954a5cf5b4462 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-afc4bca75f5449b8b7c954a5cf5b44622025-02-03T05:47:12ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922013-01-01201310.1155/2013/186230186230Life-Threatening Complications of Hormonal Contraceptives: A Case HistorySaheed Khan0Yvo M. Smulders1Johanna I. P. de Vries2Angélique M. E. Spoelstra-de Man3Department of Intensive Care, VU Medical Center, Postbus 7057, 1007 MB Amsterdam, The NetherlandsDepartment of Internal Medicine, VU Medical Center, Postbus 7057, 1007 MB Amsterdam, The NetherlandsDepartment of Gynaecology, VU Medical Center, Postbus 7057, 1007 MB Amsterdam, The NetherlandsDepartment of Intensive Care, VU Medical Center, Postbus 7057, 1007 MB Amsterdam, The NetherlandsWe present a case with the rare combination of thrombotic and hemorrhagic complications of oral contraceptives. A healthy 40-year-old woman suffered from cardiac arrest due to massive pulmonary embolism, caused by oral contraceptives and immobilization during a flight. After successful resuscitation, obstructive shock necessitated thrombolysis and thereafter heparin. Anticoagulation was complicated by internal bleeding from contraceptive related hepatic adenoma. She underwent arterial embolisation, and anticoagulation was continued. On day 18, she was discharged in a good condition. Hepatic adenomas are a potential source of internal bleeding in women using oral contraceptives requiring anticoagulation. Signs of internal bleeding in such patients should prompt immediate abdominal ultrasound examination.http://dx.doi.org/10.1155/2013/186230 |
| spellingShingle | Saheed Khan Yvo M. Smulders Johanna I. P. de Vries Angélique M. E. Spoelstra-de Man Life-Threatening Complications of Hormonal Contraceptives: A Case History Case Reports in Obstetrics and Gynecology |
| title | Life-Threatening Complications of Hormonal Contraceptives: A Case History |
| title_full | Life-Threatening Complications of Hormonal Contraceptives: A Case History |
| title_fullStr | Life-Threatening Complications of Hormonal Contraceptives: A Case History |
| title_full_unstemmed | Life-Threatening Complications of Hormonal Contraceptives: A Case History |
| title_short | Life-Threatening Complications of Hormonal Contraceptives: A Case History |
| title_sort | life threatening complications of hormonal contraceptives a case history |
| url | http://dx.doi.org/10.1155/2013/186230 |
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