Haemoperitoneum due to ruptured corpus luteum! managed conservatively-2 case reports and review of literature

Ara, Anjum; Malik, Renuka; Malla, Veena Ganju

doi:10.18203/2320-1770.ijrcog20163459

Cited by 2 publications

(3 citation statements)

References 5 publications

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“…Still, they should be used mindfully by estimating the clinical risk associated with drug interaction with anticoagulant medications or associated liver diseases [11]. 2016) reported a case series of ruptured complex ovarian cysts that presented with acute abdomen with hemoperitoneum secondary to complex ovarian cyst hemorrhage with etiology of longterm warfarin post-mitral valve replacement, both cases were managed conservatively [13]. Sikka et al…”

Section: Discussionmentioning

confidence: 99%

“…Agarwal et al (2017) India managed the case of a ruptured corpus luteum cyst with hemoperitoneum due to unmonitored warfarin therapy post-mitral valve replacement by conservative methods [ 12 ]. Ara et al (2016) reported a case series of ruptured complex ovarian cysts that presented with acute abdomen with hemoperitoneum secondary to complex ovarian cyst hemorrhage with etiology of long-term warfarin post-mitral valve replacement, both cases were managed conservatively [ 13 ]. Sikka et al (2015) conservatively managed the case of complex left ovarian cyst hemorrhage with acute abdomen and gross peritoneal free fluid due to long-term warfarin therapy post-mitral valve replacement surgery [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

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Post-ovulatory Hemoperitoneum in a Patient on Anticoagulation Therapy for Mitral Valve Replacement

Muneeba¹,

Acharya²,

Acharya³

et al. 2023

Cureus

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When a patient is receiving anticoagulant therapy, the rupture of a corpus luteum cyst may go unrecognized in healthy women but becomes clinically relevant as it might exacerbate a hemoperitoneum episode. This report describes the case of a 26-year-old primipara who underwent surgical treatment for a heart defect and later experienced extensive hemoperitoneum. The patient reported to the casualty with symptoms of unstable hemodynamic status such as hypotension 90/60 mmHg and tachycardia 120 beats/minute. A multidisciplinary team decided upon surgical management after stabilizing the coagulation profile and correcting the shock with blood and blood products. The reason was discovered to be a ruptured cyst wall, which was fixed electrosurgically. The patient had a full recovery with no postoperative complications. The most noteworthy aspect of this case was the catastrophic hemoperitoneum caused by improper anticoagulant treatment monitoring. Management of such cases depends on the age of the patient, fertility, and calculating the long-term prognosis of the anticoagulation therapy for the patient.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Post-ovulatory Hemoperitoneum in a Patient on Anticoagulation Therapy for Mitral Valve Replacement

Muneeba¹,

Acharya²,

Acharya³

et al. 2023

Cureus

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“…Ara A et al in their case report also reported two cases where hemoperitoneum was managed conservatively and also various case reports have shown that in case of rupture corpus luteum cyst can be managed conservatively with transfusion of blood and other factors. [7][8][9][10]…”

Section: Discussionmentioning

confidence: 99%

Ruptured corpus luteum cyst in women on anticoagulant: conservative or surgical management a clinical dilemma

Prybot

Dhirasaria

2017

Int J Reprod Contracept Obstet Gynecol

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Ruptured corpus luteum cyst is a common finding in women of the reproductive age group, but hemoperitoneum in a case of reputured corpus luteum cyst in women on anticoagulants is an uncommon finding. Thus, management in such cases can be done by dose adjustment of anticoagulants. A woman had come to the emergency with complaints of pain distention of abdomen. Her USG showed adenexal mass with hemoperitoneum. She was on anticoagulants. Her coagulation profile was deranged. Patient was managed conservatively with dose adjustment and transfusion of blood and fresh frozen plasma. Hemoperitoneum due to ruptured corpus luteum cyst in reproductive age group have a similar presentation with ectopic pregnancy. In women in this age group pregnancies should be ruled out. Patients on anticoagulants may not require laparotomy and can be managed conservatively.

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Haemoperitoneum due to ruptured corpus luteum! managed conservatively-2 case reports and review of literature

Cited by 2 publications

References 5 publications

Post-ovulatory Hemoperitoneum in a Patient on Anticoagulation Therapy for Mitral Valve Replacement

Post-ovulatory Hemoperitoneum in a Patient on Anticoagulation Therapy for Mitral Valve Replacement

Ruptured corpus luteum cyst in women on anticoagulant: conservative or surgical management a clinical dilemma

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