Hemoperitoneum

Women of childbearing age presenting with hemoperitoneum of gynecological origin may have ectopic pregnancy, ruptured corpus luteum cyst, uterine rupture, endometriosis, or ruptured hydro-/pyosalpinx.

The characteristics of a ruptured corpus luteum hemorrhage are:

  • patient of child-bearing age,
  • sharp and sudden-onset pain
  • history of recent sexual intercourse or strenuous physical activity
  • a significant proportion of pregnant patients (either ectopic or intrauterine)
  • onset during the secretory phase of the menstrual cycle (days 14–30).

In the case of a ruptured corpus luteum cyst the first-choice treatment is conservative management. However, if the patient has unstable vital signs, significant hemoglobin decrease and/or increasing hemoperitoneum in follow-up sonographic examinations laparoscopy should be performed.

Our image depicts hemoperitoneum in a case of a ruptured corpus luteum cyst after sexual intercourse. Note the blood clots inside the pouch of douglas.

haemoperitoneum

Bibliography

  • Fiaschetti V, Ricci A, Scarano AL, et al. Hemoperitoneum from Corpus Luteal Cyst Rupture: A Practical Approach in Emergency Room. Case Reports in Emergency Medicine. 2014;2014:252657. doi:10.1155/2014/252657.
  • Wen-Kuang Ho, Ya-Fen Wang, Hsin-Hung Wu, Horng-Der Tsai, Tze-Ho Chen, Ming Chen. Ruptured corpus luteum with hemoperitoneum: case characteristics and demographic changes over time. Taiwan J Obstet Gynecol. 2009 Jun; 48(2): 108–112. doi: 10.1016/S1028-4559(09)60267-9

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.