Summary:
A rare and life threatening complication of idiopathic
thrombocytopenic purpura is intracranial hemorrhage (
ICH) and is the leading reported cause of death. The other
important manifestation of ITP is menorrhagia. There are a
variety of different causes of menorrhagia and gynecological
evaluation is essential to tailor management to the individual
patient to prevent unnecessary invasive procedure which may
have limited effect. A 25 years old female para-2+0 presented
with menorrhagia,severe excruciating headache,easy
bruising, ecchymosis and petechialhemorrhage. After all
investigation clinical evaluation it was diagnosed as a case
of ITP with intracranial hemorrhage and menorrhagia. An
intracranial hemorrhage is the most dreaded complication
of ITP it is essential toprecede an early diagnosis, prompt
and aggressive management and optimizing the management
of acute menorrhagia remains of clinical importance due to
life threatening nature of the condition.
Keywords: Idiopathic thrombocytopenic purpura, subdural
hematoma, menorrhagia, intracranial hemorrhage.
(J Bangladesh Coll Phys Surg 2017; 35: 97-99)