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자궁선근증을 동반한 여성에서 과배란 유도 후 발생한 파종성 혈관내 응고증
주종길 ( Jong Kil Joo ),조덕현 ( Dyeok Hyeon Jo ),백윤지 ( Yun Ji Baek ),최종열 ( Jong Ryeol Choi ),이규섭 ( Kyu Sup Lee ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.11
Disseminated intravascular coagulation (DIC) is usually developed after infection, metastatic cancer or complicated pregnancy. We experienced a case of infertile woman with adenomyosis, who had not been predisposed any common risk factors but had acute DIC during menstruation after controlled ovarian stimulation. The patient received anticoagulation therapy with supplementation of coagulation factors, followed by surgical removal of uterus 3 months later. We assumed that DIC resulted from rapidly aggravated lesion during controlled ovarian stimulation and massive intramuscular hemorrhage during menstruation. So, we report the case with brief review of literatures.