Intraperitoneal Hemorrhage in a Pregnant Woman with Hyperemesis Gravidarum: Vitamin K Deficiency as a Possible Cause
Hyperemesis gravidarum can cause various vitamin deficiencies. Vitamin K deficiency can lead to coagulopathy or hemorrhagic diathesis. A nulliparous Japanese woman with hyperemesis gravidarum at 105/7 weeks was admitted with giant myoma, intestinal obstruction, and abdominal pain. Treatment for a de...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2016/5384943 |
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| author | Yosuke Baba Hiroyuki Morisawa Koyomi Saito Hironori Takahashi Kazuma Rifu Shigeki Matsubara |
| author_facet | Yosuke Baba Hiroyuki Morisawa Koyomi Saito Hironori Takahashi Kazuma Rifu Shigeki Matsubara |
| author_sort | Yosuke Baba |
| collection | DOAJ |
| description | Hyperemesis gravidarum can cause various vitamin deficiencies. Vitamin K deficiency can lead to coagulopathy or hemorrhagic diathesis. A nulliparous Japanese woman with hyperemesis gravidarum at 105/7 weeks was admitted with giant myoma, intestinal obstruction, and abdominal pain. Treatment for a degenerative myoma was instituted with intravenous antibiotics. The abdominal pain ameliorated, but intestinal obstruction persisted. At 166/7 weeks, we performed laparotomy for release of intestinal obstruction, when intraabdominal bleeding of 110 mL existed. Blood tests revealed coagulopathy secondary to vitamin K deficiency. The coagulopathy responded to intravenous vitamin K injection. Coagulopathy due to vitamin K deficiency can occur with hyperemesis gravidarum, and coexisting intestinal obstruction and broad-spectrum antibiotics can aggravate the deficiency. |
| format | Article |
| id | doaj-art-5e0e4b7416984fe9b80781bbad4147af |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-5e0e4b7416984fe9b80781bbad4147af2025-02-03T05:50:49ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922016-01-01201610.1155/2016/53849435384943Intraperitoneal Hemorrhage in a Pregnant Woman with Hyperemesis Gravidarum: Vitamin K Deficiency as a Possible CauseYosuke Baba0Hiroyuki Morisawa1Koyomi Saito2Hironori Takahashi3Kazuma Rifu4Shigeki Matsubara5Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi 09216, JapanDepartment of Obstetrics and Gynecology, Jichi Medical University, Tochigi 09216, JapanDepartment of Obstetrics and Gynecology, Jichi Medical University, Tochigi 09216, JapanDepartment of Obstetrics and Gynecology, Jichi Medical University, Tochigi 09216, JapanDepartment of Surgery, Jichi Medical University, Tochigi 09216, JapanDepartment of Obstetrics and Gynecology, Jichi Medical University, Tochigi 09216, JapanHyperemesis gravidarum can cause various vitamin deficiencies. Vitamin K deficiency can lead to coagulopathy or hemorrhagic diathesis. A nulliparous Japanese woman with hyperemesis gravidarum at 105/7 weeks was admitted with giant myoma, intestinal obstruction, and abdominal pain. Treatment for a degenerative myoma was instituted with intravenous antibiotics. The abdominal pain ameliorated, but intestinal obstruction persisted. At 166/7 weeks, we performed laparotomy for release of intestinal obstruction, when intraabdominal bleeding of 110 mL existed. Blood tests revealed coagulopathy secondary to vitamin K deficiency. The coagulopathy responded to intravenous vitamin K injection. Coagulopathy due to vitamin K deficiency can occur with hyperemesis gravidarum, and coexisting intestinal obstruction and broad-spectrum antibiotics can aggravate the deficiency.http://dx.doi.org/10.1155/2016/5384943 |
| spellingShingle | Yosuke Baba Hiroyuki Morisawa Koyomi Saito Hironori Takahashi Kazuma Rifu Shigeki Matsubara Intraperitoneal Hemorrhage in a Pregnant Woman with Hyperemesis Gravidarum: Vitamin K Deficiency as a Possible Cause Case Reports in Obstetrics and Gynecology |
| title | Intraperitoneal Hemorrhage in a Pregnant Woman with Hyperemesis Gravidarum: Vitamin K Deficiency as a Possible Cause |
| title_full | Intraperitoneal Hemorrhage in a Pregnant Woman with Hyperemesis Gravidarum: Vitamin K Deficiency as a Possible Cause |
| title_fullStr | Intraperitoneal Hemorrhage in a Pregnant Woman with Hyperemesis Gravidarum: Vitamin K Deficiency as a Possible Cause |
| title_full_unstemmed | Intraperitoneal Hemorrhage in a Pregnant Woman with Hyperemesis Gravidarum: Vitamin K Deficiency as a Possible Cause |
| title_short | Intraperitoneal Hemorrhage in a Pregnant Woman with Hyperemesis Gravidarum: Vitamin K Deficiency as a Possible Cause |
| title_sort | intraperitoneal hemorrhage in a pregnant woman with hyperemesis gravidarum vitamin k deficiency as a possible cause |
| url | http://dx.doi.org/10.1155/2016/5384943 |
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