Abstract

A ruptured functional ovarian cyst can be a frequent cause of acute pelvic pain in women of reproductive age. The disease course varies from no symptoms or signs to severe peritoneal irritations and even life-threatening shock (1). Women of reproductive age are at risk of ruptured corpus luteum with hemoperitoneum. Prompt recognition and treatment is required for this condition because late diagnosis can be life threating for the patient. This case we are going to discuss , a 26 years married women, Para- 2 Live- 2,presented to the emergency room with acute pelvic pain. Right adnexal mass massive haemoperitonium was found on USG and CT abdomen. Emergency laparotomy was performed and proceeded with right salphingo -oophorectomy.Histopathological examination revealed right ruptured haemorrhagic corpus luteal cyst (functional cyst) to be the cause for massive haemoperitonium. Ruptured corpus luteal cyst can be a differential diagnosis for acute abdominal pain in women of reproductive age group.

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