Author(s): Edyta Barna? (DE), Joanna Skr?t-Magier?o (AE), Jolanta Starzak-Gwó?d? (DE), Gabriela ?uk (E), Martyna ?wierk (E), Anna Piotrowska (B), Sylwia Nicpo? (D), Maciej Czerwi?ski (F), Bogdan Mac (F), Andrzej Skr?t (ADE)
Von Willebrand disease (vWD) is one of the most common congenital bleeding disorders. Its prevalence in the general population is estimated at approximately 0.3–1.3%. Depending on the type, it is inherited as an autosomal dominant trait, or more rarely as a recessive disease. It is caused by deficiency or dysfunction of von Willebrand factor (vWF). The disease usually presents with spontaneous bleeding from mucous membranes and soft tissues. Increased bleeding occurs during surgical or dental procedures, and abundant menstrual periods are additionally present in women. During pregnancy, the level of von Willebrand factor normalizes and symptoms tend to become less severe. However, the risk of hemorrhage increases in the postpartum period due to a rapid decline in vWF level, hence this period requires special attention. The aim of the study is to present a case of a young woman diagnosed with von Willebrand disease, who had bleeding after cesarean section in early puerperium and after endometrial cyst removal 5 years later.