WARFARIN TOXICITY PRESENTING AS RUPTURED OVARIAN TUMOUR WITH HEMOPERITONEUM: A CASE REPORT

Authors

  • Vidyadhar B Bangal Rural Medical College,Pravara Institute of Medical Sciences (Deemed University), Loni Dist. Ahmednagar, Maharashtra
  • Kunnal K Shinde Rural medical College, Pravara Institute of Medical Sciences (Deemed University), Loni Dist. Ahmednagar, Maharashtra
  • Sai K Borawake Rural medical College, Pravara Institute of Medical Sciences (Deemed University), Loni Dist. Ahmednagar, Maharashtra

DOI:

https://doi.org/10.7439/ijbar.v3i3.334

Abstract

Warfarin, a coumarin derivative, is commonly used in prevention and treatment of thromboembolic events in various clinical situations. Although, a safe drug, its toxicity may result into intraperitoneal bleeding. Warfarin induced intraperitoneal bleeding is dose dependent and may have fatal outcome. A case is reported here, who presented with massive intraperitoneal haemorrhage secondary to warfarin toxicity. She had undergone mitral valve replacement six months before the episode. Clinical and imaging suggested a pelvic mass mimicking ruptured ovarian tumour. Her prothrombin time INR was 1.1 at the time of admission. Emergency laparotomy revealed a large organised blood clot in the pouch of Douglas extending to adnexal region, mimicking ruptured ovarian tumour. Warfarin was withdrawn for few days. Patient was transfused with fresh frozen plasma and fresh whole blood. Post operative recovery was uneventful. Warfarin in low dose was restarted for

Downloads

Download data is not yet available.

Author Biographies

  • Vidyadhar B Bangal, Rural Medical College,Pravara Institute of Medical Sciences (Deemed University), Loni Dist. Ahmednagar, Maharashtra
    Professor and Head,Dept. of Obstetrics and Gynaecology, 
  • Kunnal K Shinde, Rural medical College, Pravara Institute of Medical Sciences (Deemed University), Loni Dist. Ahmednagar, Maharashtra
    Postgraduate student
  • Sai K Borawake, Rural medical College, Pravara Institute of Medical Sciences (Deemed University), Loni Dist. Ahmednagar, Maharashtra
    Postgraduate student

Downloads

Published

2012-04-01

Issue

Vol. 3 No. 3 (2012): Mar

Section

Case Report

License

Authors who publish with this journal agree to the following terms:

  • Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  • Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  • Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (SeeThe Effect of Open Access).

How to Cite

WARFARIN TOXICITY PRESENTING AS RUPTURED OVARIAN TUMOUR WITH HEMOPERITONEUM: A CASE REPORT. (2012). International Journal of Biomedical and Advance Research, 3(3), 209-211. https://doi.org/10.7439/ijbar.v3i3.334
Crossref
Scopus
Google Scholar
Europe PMC