Venous Thromboembolism and Adenomyosis: A Retrospective Review

Gynecology and Minimally Invasive Therapy
Eliane Yuting HongYoke Fai Fong

Abstract

The objective of the study was to evaluate the incidence of venous thromboembolism (VTE) in patients who have been admitted for adenomyosis at our institute and describe their clinical characteristics and management. A retrospective review of the medical records of all patients who were admitted to the gynecology ward between January 2015 and August 2016 was conducted, and all patients who had adenomyosis were included in this study. Clinical details that were evaluated included age, parity, body mass index, significant comorbidities, size of the uterus on physical examination, the size of the adenomyoma (if present) on pelvic ultrasonography, initial hemoglobin, and hematocrit on admission, whether blood transfusion was required, acute and long-term treatment and whether or not there were any associated VTE and treatment given. Forty-one patients were included in this study. Five (12.2%) out of the 41 patients had associated VTE; all five had pulmonary embolism (PE), while two also had a concurrent left lower limb deep-vein thrombosis. Three out of the five patients had worsening menorrhagia following anticoagulation, which gonadotropin-releasing hormone analogs were effective in controlling. Four of the five patients eventual...Continue Reading

References

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Nov 8, 2017·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Byungseok KimTaewon Kim

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Citations

Aug 26, 2021·BMJ Case Reports·Tsubasa BetsuyakuSatoki Misaka

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Methods Mentioned

BETA
hysterectomy
surgical resection

Software Mentioned

SPSS

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