Abstract
Corpus luteum cyst rupture with consequent hemoperitoneum is a common disorder in women in their reproductive age. This condition should be promptly recognized and treated because a delayed diagnosis may significantly reduce women's fertility and intra-abdominal bleeding may be life-threatening. Many imaging modalities play a key role in the diagnosis of acute pelvic pain from gynecological causes. Ultrasound study (USS) is usually the first imaging technique for initial evaluation. USS is used to confirm or to exclude the presence of intraperitoneal fluid but it has some limitations in the identification of the bleeding source. Contrast-enhanced computed tomography (CT) is the imaging modality which could be used in the acute setting in order to recognize gynecological emergencies and to establish a correct management. Magnetic resonance imaging (MRI) nowadays is the most useful technique for studying the pelvis but its low availability and the long acquisition time of the images limit its usefulness in characterization of acute gynecological complications. We report a case of a young patient with hemoperitoneum from hemorrhagic corpus luteum correctly identified by transabdominal USS and contrast-enhanced CT.
Highlights
Acute pelvic pain in women of childbearing age is a common and frequent cause for admission to emergency room (ER), necessitating emergent medical evaluation especially when it is due to hemoperitoneum [1].In this scenario, the wide range of differential diagnoses that must be considered when assessing abdominal pain represents an issue for the clinical approach.Sometimes it can be difficult to distinguish gynecological from gastrointestinal and urinary tract emergencies because of overlapping symptoms and signs
Hemoperitoneum may occur in the context of various gynecological emergencies; in some cases it could be a complication of a ruptured hemorrhagic corpus luteum [3,4,5]
We describe a case of hemoperitoneum from a ruptured hemorrhagic corpus luteum in an adolescent woman in which the use of emergent computed tomography (CT) in the ER was necessary in order to obtain the correct diagnosis
Summary
Acute pelvic pain in women of childbearing age is a common and frequent cause for admission to emergency room (ER), necessitating emergent medical evaluation especially when it is due to hemoperitoneum [1]. In this scenario, the wide range of differential diagnoses that must be considered when assessing abdominal pain represents an issue for the clinical approach. We describe a case of hemoperitoneum from a ruptured hemorrhagic corpus luteum in an adolescent woman in which the use of emergent CT in the ER was necessary in order to obtain the correct diagnosis
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