Effective salvage of acute massive uterine bleeding using intrauterine balloon tamponade in a uterine adenomyosis patient on dienogest
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This case report details the effective salvage of acute massive uterine bleeding in a patient with adenomyosis on dienogest using intrauterine balloon tamponade.
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Abstract
We present the case of a 37-year-old nulliparous woman in whom acute massive uterine bleeding during dienogest therapy was successfully treated using intrauterine balloon tamponade. Abnormal uterine bleeding and several cases of profuse bleeding causing severe anemia in association with dienogest therapy have been reported, but this is the first reported case involving hypovolemic shock. While successful control of postpartum hemorrhage with intrauterine balloon tamponade has been well described, applications for non-obstetric bleeding, particularly in the presence of underlying diseases, such as adenomyosis, have only rarely been reported. This procedure can be easily, promptly, and safely implemented without analgesia, anesthesia, or laparotomy; it can be used with a minimally dilated external cervical os or narrow uterine cavity; and it can preserve fertility.
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Cited by (10)
- Cerebral infarction associated with adenomyosis: Two case reports with mechanistic insights and multidisciplinary management 2025
- A systematic review and Bayesian analysis of the adverse effects of dienogest 2024
- Adenomyosis in Adolescence 2022
- Possible association between adenomyosis and disseminated intravascular coagulation and thromboembolism: A systematic review 2022
- Evaluating the safety of dienogest in women with adenomyosis: A retrospective analysis 2021
- A case of hemorrhagic shock occurred during dienogest therapy for uterine adenomyosis 2020
- Comparison of effect of preoperative dienogest and gonadotropin-releasing hormone agonist administration on laparoscopic cystectomy for ovarian endometriomas 2020
- Efficacy of hormonal therapies for decreasing uterine volume in patients with adenomyosis 2018
- Cardiac arrest due to massive hemorrhage from uterine adenomyosis with leiomyoma successfully treated with damage control resuscitation 2016
- Dienogest 2014
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- europepmc
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- openalex
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- pubmed
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