Contraception (Birth Control) and Family Planning PubHealthInfo

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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.

YEAR: 1991

CATEGORY: Contraception (Birth Control) and Family Planning

TITLE

Fatal course of hepatic peliosis with possible linkage to oral

contraception. [Todlicher Verlauf einer Peliosis hepatis mit moglicher

Beziehung zur oralen Kontrazeption.]

AUTHORS

Buchholz A; Muschter K; Grunert A; Rohner A

SOURCE

ZEITSCHRIFT FUR KLINISCHE MEDIZIN. 1991 Mar;46(7):539-41.

ABSTRACT

Liver changes, such as hepatosis, hyperplasia, and liver cells adenomas as well as massive bleeding resulting from

adenomas or peliosis hepatis have been linked to oral contraceptives (OCs). A 23-year old patient was hospitalized

with acute abdominal pain, frequent respiration, and tachycardia. She had been taking Ovosiston. Laparotomy was

performed, but it failed to find the cause of peritonitis, the right adnexum was removed, and antibiotic therapy was

initiated. After a brief recuperation, laparotomy was performed again because of deterioration of her condition, and

several small abscesses and an egg-sized abscess were found without finding the cause of the inflammation.

Histological analysis of the adnexum indicated a secondary inflammatory reaction. Again pain appeared in the right

arm and the thorax followed by circulatory collapse which was stabilized by infusion and transfusion. Ultrasound

showed hepatomegaly, and blood serous pleura exudate was collected by punction. Another laparotomy yielded a

subphrenic and intrahepatic hematoma almost the size of a head on the right at the ruptured liver surface. A

bleeding ruptured liver adenoma was retrieved followed by removal of associated liver tissue. After pain in the right

lower thorax and a drop of blood pressure, transfusion was performed again to stabilize circulation. The next day,

she became icteric and precomatose and died. Histological examination did not show liver cell adenoma or

hemangioma, only partially isolated bleeding with necrobiosis of the liver tissue at the age of the bleeding, indicative

of peliosis hepatis, which probably caused the early symptoms and peritonitis. Acute abdominal pain in young

women could be a symptom of intraperitoneal bleeding. Contraception anamnesis, punction, and laparoscope

provide diagnosis, and OCs should be abandoned because of demonstrated liver effects. (PubHealth.info Document

ID: CONT3T 2506-06)

PubHealth.info NOTE: The author(s) of this article titled, "Fatal course of hepatic peliosis with possible linkage to

oral contraception. [Todlicher Verlauf einer Peliosis hepatis mit moglicher Beziehung zur oralen Kontrazeption.]",

is(are) Buchholz A; Muschter K; Grunert A; Rohner A. The source of this article is "ZEITSCHRIFT FUR KLINISCHE

MEDIZIN. 1991 Mar;46(7):539-41.". This article was published in 1991 in German language(s). (PubHealth.info®

Document ID: CONT3T 2506-06. All rights reserved with PubHealth.info) PIN: 12506

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