Ovarian Hematoma and Hemoperitoneum in Glanzmann’s Thrombasthenia

Abstract

Aim: This case report is aimed to study the treatment approach in a case of Glanzmann’s thrombasthenia (GT) with ovarian hematoma and hemoperitoneum. Background: Glanzmann’s thrombasthenia is an extremely rare life-threatening bleeding disorder that often presents with heavy menstrual bleeding in reproductive-age females. Case description: A 25-year-old patient presented to emergency with abdominal pain and heavy menstrual bleeding and ultrasonography suggestive of ovarian hematoma and hemoperitoneum. The patient was managed with blood and platelet transfusion and a conservative approach was adopted. Combined oral contraceptive pills were started for heavy menstrual bleeding. Conclusion: Management of GT is a challenge. Being an autosomal recessive disorder besides menstrual blood loss control, partner testing, and preconceptional and premarital counseling is critical. Clinical significance: A rarity of diseases poses a problem with no standardized approach and treatment options are mostly reliant on case studies or expert opinions.