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A case of immune thrombocytopenic purpura secondary to endometriosis causing a pelvic haematoma
  1. Saliya Chipwete1,
  2. Yogesh Jethava2,
  3. Janice Rymer3
  1. 1Obstetrics and Gynaecology, Guy's and St Thomas’ Hospital, London, UK
  2. 2Department of Haematology, Guy's and St Thomas’ Hospitals, London, UK
  3. 3Department of Women's Health, King's College School of Medicine, London, UK
  1. Correspondence to Saliya Chipwete, schipwete{at}


The authors present a case of a 51-year-old woman with endometriosis who developed immune thrombocytopenic purpura. Her platelets dropped to 2×109/l, and she had haemorrhage into her right endometrioma causing a large pelvic haematoma. She also had renal failure secondary to endometriosis compressing the right ureter. She was treated with immunoglobulin and steroids with subsequent recovery of platelet count and underwent ureteric stenting to prevent worsening renal function.

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  • Competing interests None.

  • Patient consent Obtained.