Conservative management of a complex ovarian cyst in a case of Glanzmann’s thrombasthenia

Abstract

Complex ovarian cyst has many causes one of them being haemorrhagic cyst. Most of the haemorrhagic ovarian cyst present as an emergency, detailed clinical history is important before deciding the management. Reporting an interesting case of conservative management in a young patient of reproductive age group with variant Glanzmann’s Thrombasthenia which led to a very large ovarian haemorrhagic cyst and presented as a case of torsion of the ovarian cyst. This case highlights the importance of thorough history taking and evaluation prior to embarking on surgical interference in such cases of coagulation disorders. Glanzmann's thrombasthenia (GT) is a genetic disorder which is characterized by a defect in platelet aggregation resulting in bleeding due to absence or dysfunction of the platelet glycoprotein IIb/IIIa complex. It is a rare genetic disorder that follows autosomal recessive type of inheritance.