MANAGEMENT OF AN ACUTE HEMORRHAGIC OVARIAN-CYST IN A FEMALE-PATIENT WITH HEMOPHILIA-A

Purpose: This case report represents a description of a hemorrhagic ov arian cyst in a patient with hemophilia A. Patient: An 18-year-old fem ale patient with severe factor VIII deficiency presented with the acut e onset of a hemorrhagic ovarian cyst, meeting the standard indication s for surgical intervention. Instead, because of the underlying coagul opathy, factor VIII therapy was instituted. Result: Within 1 day of st arting the factor VIII therapy, the hemorrhage had clinically resolved and surgical intervention was avoided. Conclusions: Hemorrhagic ovari an cysts in the setting of hemophilia may respond to factor VIII repla cement therapy without the need for surgical intervention. Because the incidence of functional ovarian cysts is high in the general populati on, female patients with hemophilia should be counseled regarding its possibility of occurrence. Moreover, ifa female patient with hemophili a displays a propensity toward the development of ovarian cysts, the a dministration of prophylactic oral contraceptive pills should strongly be considered.