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Clinical and Experimental Obstetrics & Gynecology  2021, Vol. 48 Issue (4): 987-990    DOI: 10.31083/j.ceog4804157
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Postpartum hemorrhage and prolonged hyperfibrinolysis as complications of uterine cavernous hemangioma: a case report and literature review
Xue-Li Bai1, Xia Cao1, *()
1Department of Gynecology, The Fourth Affiliated Hospital of China Medical University, 110004 Shenyang, Liaoning, China
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Abstract  
Background: Uterinecavernous hemangioma can cause persistent vaginal bleeding or massive hemorrhage and can lead to severe pregnancy complications. Case: A 23-year old woman with cutaneous hemangiomas presented for caesarean delivery of her second child nine days after successful delivery, she was admitted with severe postpartum hemorrhage and disseminated intravascular coagulation (DIC). A hysterectomy was performed as a result. The diagnosis of cavernous uterine hemangioma was made only on histopathological examination. In addition, an atypically extended period of refractory fibrinolytic hyperactivity developed after hysterectomy. Such extensive hyperfibrinolysis has not previously been reported in conjunction with hysterectomy. Conclusion: This case underscores the importance of cavernous uterine hemangioma as one of the causes of refractory uterine bleeding at the time of operation delivery. The definitive diagnosis can be made only on histological examination. Changes in the coagulation mechanism should be monitored closely during postpartum, and clinicians should be aware of the possibility of fibrinolytic hyperactivity.
Key words:  Cavernous hemangioma      Postpartum hemorrhage      Hyperfibrinolysis     
Submitted:  13 December 2020      Revised:  07 January 2021      Accepted:  14 January 2021      Published:  15 August 2021     
*Corresponding Author(s):  Xia Cao     E-mail:  cmu4h_cx@126.com

Cite this article: 

Xue-Li Bai, Xia Cao. Postpartum hemorrhage and prolonged hyperfibrinolysis as complications of uterine cavernous hemangioma: a case report and literature review. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 987-990.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog4804157     OR     https://ceog.imrpress.com/EN/Y2021/V48/I4/987

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