INTRA-ABDOMINAL HEMORRHAGE FROM RUPTURED CORPUS LUTEUM

Ruptured Corpus Luteum Cyst –a Diagnostic Pitfall

A 25year old P2+1 woman presented to the gynaecology emergency unit at the Federal Medical Centre Gombe with a one day history of abdominal pain and dizziness. Ultrasound scan diagnosis was that of acute ruptured ectopic pregnancy. She had emergency exploratory laparotomy with right oophorectomy. Histology revealed ruptured corpus luteum cyst. The management pitfalls are highlighted.

Massive intraperitoneal haemorrhage from a ruptured corpus luteum cyst.

Recurrent hemorrhage from corpus luteum during anticoagulant therapy.

A 43-year old woman had recurrent massive intraperitoneal hemorrhage from rupture of a hemorrhagic corpus luteum in two successive menstrual cycles while receiving anticoagulant therapy. Left oophorectomy was performed on the first occasion and right salpingo-oophorectomy with left salpingectomy on the second. While the precise incidence cannot be determined, rupture from a hemorrhagic corpus l...

Ruptured corpus luteum cyst in early pregnancy: a case report.

INTRODUCTION Transvaginal sonography and human chorionic gonadotropin (hCG) testing are cornerstones of modern clinical practice in cases with the suspected ectopic pregnancy. In unclear cases, if the level of hCG is above the discriminatory zones, the use of uterine curettage is recommended.There is an increasing concern that strict observation of the guidelines would potentially harm otherwis...

Emergency surgery for a ruptured intra-abdominal desmoid tumour.

Dear Editor, Desmoid tumours are fi brous benign tumours that are often indolent until local symptoms evolve.1 We highlight a rare case of a ruptured intra-abdominal desmoid tumour presenting as acute abdomen. A 58-year-old female presented to our institution with a 1-day history of abdominal pain and vomiting. This was associated with fever, chills and rigors. On examination, the abdomen was t...