Acute disseminated intravascular coagulation developed during menstruation in an adenomyosis patient

Nakamura Y, Y Nakamura, Yoshihiro Nakamura, Kawamura N, Naoki Kawamura, N Kawamura, O Ishiko, Ishiko O, Osamu Ishiko, S Ogita, Sachio Ogita, Ogita S
Archives of gynecology and obstetrics · 2002 · vol. 267(2) , pp. 110–112 · doi:10.1007/s004040100243 · PMID:12439560 · W2060830662
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-13 ⓘ

This case report describes acute disseminated intravascular coagulation developing during menstruation in an adenomyosis patient without other predisposing factors, speculating hemorrhage and local thrombosis were key.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This paper reports a case of acute disseminated intravascular coagulation (DIC) that developed during menstruation in a patient with adenomyosis. The authors describe no infection or pregnancy and other known predisposing factors for DIC, and they note that the condition improved rapidly with anticoagulation therapy and supplementation of coagulation factors, without requiring surgical uterine removal. They speculate that bleeding within adenomyosis lesions followed by local thrombosis was crucial to the development of DIC in this case. This paper is centrally about adenomyosis — it focuses on acute DIC occurring during menstruation in an adenomyosis patient.

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Abstract

We report a case of acute disseminated intravascular coagulation (DIC) developed during menstruation in an adenomyosis patient. No known predisposing factor for DIC such as infection or pregnancy was involved in this case. As anticoagulation therapy and supplementation of coagulation factors quickly improve the state, surgical removal of the uterus was not required. We speculate that hemorrhage in the adenomyosis legion and subsequent local thrombosis played crucial role in pathophysiology of this case of acute DIC.
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Abstract We report a case of acute disseminated intravascular coagulation (DIC) developed during menstruation in an adenomyosis patient. No known predisposing factor for DIC such as infection or pregnancy was involved in this case. As anticoagulation therapy and supplementation of coagulation factors quickly improve the state, surgical removal of the uterus was not required. We speculate that hemorrhage in the adenomyosis legion and subsequent local thrombosis played crucial role in pathophysiology of this case of acute DIC. Similar content being viewed by others Author information Authors and Affiliations Additional information Received: 16 August 2001 / Accepted: 17 August 2001 Correspondence to Y. Nakamura Rights and permissions About this article Cite this article Nakamura, Y., Kawamura, N., Ishiko, O. et al. Acute disseminated intravascular coagulation developed during menstruation in an adenomyosis patient. Arch Gynecol Obstet 267, 110–112 (2002). https://doi.org/10.1007/s004040100243 Issue date: DOI: https://doi.org/10.1007/s004040100243

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Condition tags

endometriosisadenomyosis

MeSH descriptors

Disseminated Intravascular Coagulation Endometriosis Menstruation Acute Disease Adult Anticoagulants Anticoagulants Blood Coagulation Factors Blood Coagulation Factors Blood Transfusion Disseminated Intravascular Coagulation Disseminated Intravascular Coagulation Disseminated Intravascular Coagulation Endometriosis Female Humans Magnetic Resonance Imaging Menstruation

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