Idiopathic spontaneous lesser sac haemorrhage possibly due to endometrioma

Abstract

Idiopathic spontaneous lesser sac haemorrhage possibly due to endometriomaA 26-year-old woman presented to the emergency department with sudden onset generalized abdominal pain of 1 day duration. She denied a history of trauma, nausea, vomiting and infective symptoms including fever. She had a history of congenital heart disease, following corrective surgery in childhood.She was afebrile on examination with normal blood pressure and heart rate. Abdominal examination revealed a vague palpable left upper abdominal mass that was tender on deep palpation. There were no signs of peritonism. Digital rectal examination did not demonstrate any per rectal bleeding. The urine pregnancy test was negative. She had a normal haemoglobin (Hb) of 12.2 g/dL, and a slightly raised total white count of 11.2 Â 10 9 /L with no neutrophilia. Her platelet count was normal at 266 Â 10 9 /L and clotting panel was normal.