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Korean Journal of Obstetrics & Gynecology 2009;52(11):1174-1179.
Published online November 1, 2009.
Disseminated intravascular coagulation developed after controlled ovarian hyperstimulation in woman with adenomyosis.
Jong Kil Joo, Dyeok Hyeon Jo, Yun Ji Baek, Jong Ryeol Choi, Kyu Sup Lee
Department of Obstetrics and Gynecology, School of Medicine, Pusan National University, Busan, Korea. kuslee@pusan.ac.kr
Abstract
Disseminated intravascular coagulation (DIC) is usually developed after infection, metastatic cancer or complicated pregnancy. We experienced a case of infertile woman with adenomyosis, who had not been predisposed any common risk factors but had acute DIC during menstruation after controlled ovarian stimulation. The patient received anticoagulation therapy with supplementation of coagulation factors, followed by surgical removal of uterus 3 months later. We assumed that DIC resulted from rapidly aggravated lesion during controlled ovarian stimulation and massive intramuscular hemorrhage during menstruation. So, we report the case with brief review of literatures.
Key Words: Disseminated intravascular coagulation, Adenomyosis, Infertility, Controlled ovarian stimulation


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