Life-threatening Anemia Diagnosis Due to Myoma Uteri in the Emergency Department: A Case Report

Yıl 2019, Cilt: 10 Sayı: 1, 24 - 25, 01.01.2019

Abdullah Algin , İsmail Tayfur , Mustafa Ahmet Afacan Şahin Çolak , Mehmet Sarıaydın , Huseyin Avni Findikli Hakan Aydın

https://doi.org/10.33706/jemcr.550570

Cited By: 1

Öz

Introduction: Uterine myoma is a benign tumor of the uterus
and clinically apparent in up to 25% of reproductive-age women. Emerged silent
uterine bleedings are commonly seen with myoma. Although therapies via surgical
and radiological way are frequently used for the management of the tumor,
medical therapies are considered as initial treatment. When the anemia diagnosis cannot be made and
cannot properly treated; it is not only reduces the patient's life quality, but
also threatens the patient's life.

Case Report: In this case report; we aim to present a rare
case of the lowest hemoglobin level in the literature by a value of 1.2 g/dL
hemoglobin due to anemia resulted myoma uteri patient admitted to the emergency
department by walk.
All case with severe anemia at a level lower than 4 g/dL is
rarely seen in the hospital emergency. Sometimes there are complaints of
dysphagia, fragile nails, relative impotence, fatigue and cramps in the calves
on climbing stairs, which are disproportionate to their anemia.

Conclusion: In contrast to all recent
reports, our case had the lowest hemoglobin levels reported ever, without a
noisy clinical table indicating anemia. 

Anahtar Kelimeler

Anemia, Myoma

Kaynakça

• 1. Orlandi M, Inauen W. Chronic gastrointestinal bleeding. Ther Umsch. 2006; 63(5): 327-32.
• 2. Kurt H, Demirkiran D. Changing of Hemoglobin A1c Affects Mean Platelet Volume in Type-2 Diabetes Mellitus. Ulutas Med J. 2016; 2(1): 27-35.
• 3. Padmakumar R, Pai M, Farish S, Rajeev J, Sanjeev T, Sreevalsan TV, et al. Successful bowel surgery at hemoglobin 2 g/dL without blood transfusion. World J Gastrointest Surg. 2013; 5(8): 252-5.
• 4. Rockey DC, Hafemeister AC, Reisch JS. Acute on chronic gastrointestinal bleeding: a unique clinical entity. Journal of Investigative Medicine 2017; 65: 892-8.
• 5. Imaizumi T, Yagi E, Ushijima K, Suzuki K, Terasaki H. A patient with a preoperative hemoglobin concentration of 1.8 g.dl¹: how was the life-threatening anemia tolerated without any intensive care? Journal of anesthesia. 1999;13(2):125-126.
• 6. Schmitt RE, Buckley CJ. Extreme anemia (hemoglobin 1.8 g/dL) secondary to colon cancer. Baylor University Medical Center Proceedings. 2017; 29(4): 393–4.
• 7. Zollinger A, Hager P, Singer T, Friedl HP, Pasch T, Spahn DR. Extreme hemodilution due to massive blood loss in tumor surgery. Anesthesiology. 1997; 87(4): 985-7.