International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor.
Website: www.ijcasereportsandimages.comMassive hemoperitoneum from a ruptured corpus luteum cyst masquerading as biliary colic Justin B. Belsky, Jumana F. Nagarwala, Glenn F. Tokarski 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.