Different Clinical Presentation of Corpus Lutealcyst Haemorrhage:Case Report
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
The corpus luteum is a temporary hormone secreting remnant formed after rupture of a mature ovarian follicle to release an ovum. Sometimes, it may fill with blood or other fluids, forming a cyst and rupture in rare cases to cause hemoperitoneum which can be life threatening. We have discussed here two cases of patients presenting with acute pain abdomen which were due tohemoperitoneum resulting from ruptured corpus luteum cyst.CASE 1: A 25year old nulligravida woman undergoing infertility workup at a private hospital came to ESI, gynae casualty with complaint of acute pain abdomen .Her UPT(Urine Pregnancy test) was negative and LMP(last menstrual period) 19 days back. She was misdiagnosed as a case of acute PID(pelvic inflammatory disease)and kept for observation but after few hours, she was taken for laprotomysuspecting could be ectopic pregnancy because her vitals deteriorated and repeat TVS(transvaginalsonography) showed increase in free fluid in pelvis. Laprotomy findings revealed it to be a case of ruptured corpus luteal cyst with hemoperitoneum.CASE 2: Another 35 year old lady, P3L3 with history of MVR (mitral valve replacement) one year back,on anticoagulants, came with complaint of acute pain abdomen for oneday. Her TVS showed bulky ovary with mild free fluid in thepelvis .Her coagulation profile was deranged. Her UPT was negative and shehad LMP 16 days back. Provisional diagnosis of ruptured corpus luteal cyst with mild hemoperitoneum was made.She wasmanaged conservatively with transfusion of blood and fresh frozen plasma. Both the scenario highlights that ruptured corpus luteum cyst should be kept in differential diagnosis of acute abdomen in women of reproductive age group, patients on anticoagulation therapy or with some coagulation disorders especially in secretory phase.
Authors and Affiliations
Suman Kumari, Pratiksha Gupta, Pallavi Shekhawat, Anupama Rani
Keywords
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- EP ID EP465093
- DOI 10.9790/0853-1802030608.
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