Severe recurrent endometriomas in a young woman with congenital von Willebrand disease

Francesca Rizzello, Eleonora Ralli, Chiara Romanelli, Maria Elisabetta Coccia
Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology · 2019 · vol. 35(12) , pp. 1040–1042 · doi:10.1080/09513590.2019.1641481 · PMID:31311362 · W2958494429
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Abstract

The pathophysiology of severe endometriosis in young women remains unknown. Menorrhagia, or heavy and prolonged menstrual bleeding, is the most common symptom experienced by women with von Willebrand disease (vWD) and represents a possible risk factor for developing endometriosis. A 17-year-old woman affected by vWD presented with severe dysmenorrhea and heavy menstrual bleeding. After being diagnosed with multiple ovarian endometriomas, the patient underwent repeated surgeries due to suspicious appearance of recurrent pelvic masses. vWD may be a risk factor for developing severe endometriosis, and patients with endometriosis should be screened for vWD and other bleeding disorders. Ovarian endometriomas in such patients might present a more severe progression and unique ultrasound findings, mimicking malignancies.

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Condition tags

mesh:D004715endometriosisdysmenorrhea

MeSH descriptors

Endometriosis Menorrhagia Ovarian Diseases von Willebrand Disease, Type 3 Adolescent Contraceptives, Oral, Combined Contraceptives, Oral, Combined Endometriosis Endometriosis Endometriosis Female Gynecologic Surgical Procedures Humans Menorrhagia Ovarian Diseases Ovarian Diseases Ovarian Diseases Recurrence Severity of Illness Index von Willebrand Disease, Type 3

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