Hemoperitoneum from corpus luteum cyst rupture in pregnancy of unknown location

Yıl 2015, Cilt: 20 Sayı: 1, 58 - 61, 02.06.2015

Ali Babacan İsmet Gun Serkan Bodur Yaşam Kemal Akpak Murat Muhcu Vedat Atay

Öz

The presence of corpus luteum cyst rupture resulting in hemoperitoneum together with a diagnosis of pregnancy at unknown location is rare and challenging for the gynecologist. A 29-year-old primipara woman presented with abdominal pain. A urine pregnancy test was positive. Ultrasonography revealed hemoperitoneum, but there was no sign of any intrauterine pregnancy. On abdominal exploration, there was a massive hemorrhage with a ruptured corpus luteum on the right ovary. The diagnosis and management difficulty of corpus luteum cyst rupture with a concomitant positive pregnancy test but without exact confirmation of pregnancy location is discussed. 

Anahtar Kelimeler

Corpus luteum cyst rupture, hemoperitonium, pregnancy of unknown location

Kaynakça

• Payne JH, Maclean RM, Hampton KK, Baxter AJ, Makris M. Haemoperitoneum associated with ovulation in women with bleeding disorders: the case for conservative management and the role of the contraceptive pill. Haemophilia 2007; 13: 93-97.
• Jamal A, Mesdaghinia S. Ruptured corpus luteum cysts and anticoagulant therapy. Int J Gynaecol Obstet 2002; 76: 319-320.