  |
|
 |
|
Case Report
| ||||||
| Massive hemoperitoneum from a ruptured corpus luteum cyst masquerading as biliary colic | ||||||
| Justin B. Belsky1, Jumana F. Nagarwala2, Glenn F. Tokarski3 | ||||||
|
1MD, Assistant Instructor, Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States of America.
2MD, Senior Staff Physician, Department of Emergency Medicine, Henry Ford Hospital, Detroit, Michigan, United States of America. 3MD, Department of Emergency Medicine, Henry Ford Hospital, Detroit, Michigan, United States of America. | ||||||
| ||||||
|
[HTML Full Text]
[PDF Full Text]
[Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar] 
|
| How to cite this article |
| Belsky JB, Nagarwala JF, Tokarski GF. Massive hemoperitoneum from a ruptured corpus luteum cyst masquerading as biliary colic. Int J Case Rep Images 2015;6(3):168–172. |
|
Abstract
|
|
Introduction:
Corpus luteum cysts are functional cysts that secrete progesterone in preparation for pregnancy. If conception does not occur, they typically dissipate, however, they may collect with fluid or blood and form a cyst that can rupture. Although cyst rupture is generally benign, causing mild pain to the patient, it can result in massive hemoperitoneum requiring emergent surgical intervention.
Case Report: A 23-year old female presented to the emergency department after experiencing several hours of right upper quadrant abdominal pain. Emergency department evaluation included normal liver function studies and a negative urine and serum pregnancy test. Abdominal ultrasound revealed a large amount of intra-peritoneal fluid but no biliary disease was identified. While in the emergency department, she developed signs of acute hypovolemic shock. Serial hemoglobin revealed a four-gram drop after arrival in emergency department. She underwent emergent exploratory laparoscopy where massive hemoperitoneum (750 cm3 of blood) was identified. A ruptured corpus luteum cyst was identified as the source of acute blood loss. Conclusion: We present the first known case of a ruptured corpus luteum cyst resulting in massive hemoperitoneum masquerading as biliary colic. It is paramount that clinicians consider a ruptured ovarian cyst in females with abdominal pain, regardless of the location of pain. | |
|
Keywords:
Corpus luteum cyst, Ectopic pregnancy, Hemoperitoneum, Right upper quadrant pain
| |
|
[HTML Full Text]
[PDF Full Text]
|
|
Author Contributions
Justin Belsky – Substantial contributions to conception and design, Analysis and interpretation of data; Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published. Jumana Nagarwala – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published. Glenn Tokarski – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published. |
|
Guarantor of submission
The corresponding author is the guarantor of submission. |
|
Source of support
None |
|
Conflict of interest
Authors declare no conflict of interest. |
|
Copyright
© 2015 Justin Belsky et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
|
|