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Case Report | Obstetrics and Gynecology | Volume 15 Issue 6, June 2026 | Pages: 24 - 26 | India
Haemorrhagic Ovarian Cyst with Hemoperitoneum in a Young Woman with Type 3 Von Willebrand Disease: A Case Report
Abstract: Background: Von Willebrand disease (VWD) is the most common inherited bleeding disorder. Type 3 VWD, characterized by a near-complete deficiency of von Willebrand factor, is the most severe form and is associated with spontaneous and potentially life-threatening bleeding episodes. Haemorrhagic ovarian cyst leading to hemoperitoneum is an uncommon but important gynaecological manifestation. Case Presentation: A 23-year-old nulligravida woman with known Type 3 VWD presented with severe lower abdominal pain, dizziness, and symptomatic anaemia. She had a previous history of hemoperitoneum requiring laparoscopic intervention. On evaluation, a significant decline in haemoglobin level from 11.5 g/dL to 5.7 g/dL was noted over a two-week period. Ultrasonography revealed moderate hemoperitoneum, a right adnexal organized hematoma measuring approximately 100-120 cc, and a left haemorrhagic ovarian cyst. Despite hemodynamic compromise at presentation, she was successfully managed conservatively with blood component therapy, von Willebrand factor concentrate, tranexamic acid, and close monitoring. Ovulation suppression with combined oral contraceptive pills was initiated to prevent recurrence. Conclusion: This case highlights haemorrhagic ovarian cyst with hemoperitoneum as a rare but potentially life-threatening manifestation of severe VWD. Early diagnosis, multidisciplinary management, and preventive ovulation suppression can reduce morbidity and avoid unnecessary surgical intervention.
Keywords: Von Willebrand disease Type 3, hemoperitoneum, haemorrhagic ovarian cyst, inherited bleeding disorder, ovulation suppression
How to Cite?: Dr. Deeksha Govind, Dr. Hemangi J. Kansaria, "Haemorrhagic Ovarian Cyst with Hemoperitoneum in a Young Woman with Type 3 Von Willebrand Disease: A Case Report", Volume 15 Issue 6, June 2026, International Journal of Science and Research (IJSR), Pages: 24-26, https://www.ijsr.net/getabstract.php?paperid=SR26531195523, DOI: https://dx.dx.doi.org/10.21275/SR26531195523