Life-Threatening Complications of Hormonal Contraceptives: A Case History. (20th May 2013)

• Record Type: Journal Article
• Authors: Khan, Saheed; Smulders, Yvo M.; de Vries, Johanna I. P.; Spoelstra-de Man, Angélique M. E.
• Other Names: De Franciscis P. Academic Editor.; Ficicioglu C. Academic Editor.; Ku S.-Y. Academic Editor.; Liang C.-C. Academic Editor.; Osmanagaoglu M. A. Academic Editor.; Rasmussen S. Academic Editor.
• Is Part Of: Case reports in obstetrics and gynecology. Volume 2013(2013)
• Publication Date: 2013-05-20
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; Generative organs, Female -- Diseases -- Periodicals; Obstetrics; Gynecology; Genital Diseases, Female; Generative organs, Female -- Diseases; Gynecology; Obstetrics; Electronic journals; Periodicals; Periodicals; 618
• DOI: 10.1155/2013/186230
• Languages: English
• ISSNs: 2090-6684

Abstract

Abstract : 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.