Ovarian Bleeding in the Patients with Congenital Bleeding Tendency

Abstract

Four episodes of ovarian hemorrhage in the patients with 3 kinds of congenital bleeding tendency are reported. A diagnosis of congenital afibrinogenemia has been made prior to onset of ovarian hemorrhage and patient was treated with blood transfusion and fibrinogen preparations. Operations were successfully completed in the two patients with von Willebrand's disease and one congenital dysfibrinogenemia, whose diagnoses were made after surgery.
Although recent advance in the diagnosis and treatment of congenital bleeding tendency, precise diagnosis have not been made in many patients and surgical procedures are still dangerous. So, one should consider the possibility of such a hemorrhage in such patients even though it is rare.