Surgical management of the patient with factor V deficiency: a case report

Authors

DOI:

https://doi.org/10.18203/issn.2454-2156.IntJSciRep20204476

Keywords:

Factor V deficiency, Rare bleeding disorders, Gynaecological surgical management, Ovarian torsion

Abstract

Factor V (FV) is a rare bleeding disorder that its incidence is one in a million. Patients with FV deficiency have typically mucosal bleeding and prolonged bleeding after an invasive procedure. There are no certain treatment modalities and there is no product of FV concentrates in the markets. The bleeding diathesis and protect the ovarian viability are a challenge as an opposite situation for treatment options and ovarian preservation after detorsion is controversial. We aimed to provide ovarian blood-stream, control bleeding and protect thromboembolism from the patient with all of our treatment in the light of literature and a few case reports.   

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Author Biographies

Duygu C. Ozmus, Department of Obstetrics and Gynaecology, Tepecik Training and Research Hospital, Izmir

Department of Obstetricts and Gynaecology

Dogay N. Ozmus, Department of Obstetrics and Gynaecology, Tepecik Training and Research Hospital, Izmir

Department of Obstetricts and Gynaecology

Yasam K. Akpak, Department of Obstetrics and Gynaecology, Tepecik Training and Research Hospital, Izmir

0000-0002-1699-8667

Zeynep Y. Onur, Department of Obstetrics and Gynaecology, Tepecik Training and Research Hospital, Izmir

Department of Obstetricts and Gynaecology

Mujde Canday, Department of Obstetrics and Gynaecology, Istanbul University, Cerrahpasa Medical Faculty, Istanbul

Department of Obstetricts and Gynaecology

Aslihan Yurtkal, Department of Obstetrics and Gynaecology, Istanbul University, Cerrahpasa Medical Faculty, Istanbul

Department of Obstetricts and Gynaecology

References

Tabibian S, Shiravand Y, Shams M, Safa M, Gholami MS, Heydari F, et al. A comprehensive overview of coagulation factor V and congenital factor V deficiency. Sem Thromb Hemost. 2019;45(5)523-43.

Meidert AS, Kinzinger J, Möhnle P, Pekrul I, Spiekermann K, Thorsteinsdottir J, et al. Perioperative Management of a Patient With Severe Factor V Deficiency Presenting With Chronic Subdural Hematoma: A Clinical Report. Wor Neurosurg. 2019;127:409-13.

Safarpour MM, Haghpanah S, Meshksar A, Karimi M. Phenotype Report on Patients with Congenital Factor V Deficiency in Southern Iran: Recent Ten Years’ Experience. Turk J Hematol. 2017;34(3):250-3.

Koduri PR, Kamineni V, Vedantham H, Joshi N. Laparoscopic surgery in a woman with factor V deficiency: revisiting platelet factor V. Haemophi. 2016;22:322-4.

Thalji N, Camire RM. Parahemophilia: new insights into factor v deficiency. Sem thromb Hemost. 2013;39(6):607-12.

Gavva C, Yates SG, Rambally S, Sarode R. Transfusion management of factor V deficiency: three case reports and review of the literature. Transfus. 2016;56(7):1745-9.

Azurah AG, Zainol ZW, Zainuddin AA, Lim PS, Sulaiman AS, Ng BK. Update on the management of ovarian torsion in children and adolescents. Wor J Pediat. 2015;11(1):35-40.

Oelsner G, Cohen SB, Soriano D, Admon D, Mashiach S, Carp H. Minimal surgery for the twisted ischaemic adnexa can preserve ovarian function. Hum Reprod. 2003;18(12):2599-602.

Dasgupta R, Renaud E, Goldin AB, Baird R, Cameron DB, Arnold MA, et al. Ovarian torsion in pediatric and adolescent patients: A systematic review. J Pediat Surg. 2018;53(7):1387-91.

Peyvandi F, Menegatti M. Treatment of rare factor deficiencies in 2016. Hematology 2014, the American Society of Hematology Education Program Book. 2016;2016(1):663-9.

Kaya C, Turgut H, Cengiz H, Turan A, Ekin M, Yaşar L. Effect of detorsion alone and in combination with enoxaparin therapy on ovarian reserve and serum antimüllerian hormone levels in a rat ovarian torsion model. Fert Steril. 2014;102(3):878-84.

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Published

2020-10-19

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Section

Case Reports