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

Abstract

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.

Single-Cell Analysis of the Endometrial Characteristics of Meishan Pigs Across the Estrous Cycle

“…Establishing a particular endometrial state is crucial for successful embryo implantation in female animals [9] . The endometrium is most receptive to embryo implantation during the ovarian luteal phase following ovulation, this is the most favourable phase for successful implantation [10,11] . During the luteal phase, the endometrial glands secrete cytokines, such as adhesins, which facilitate the settling of the embryo.…”

The Impact of Progesterone Administration Routes on Endometrial Receptivity and Clinical Outcomes in Assisted Reproductive Technology Cycles

“…The implantation window, or 'window of implantation' (WOI), is critical for reproduction and necessitates precise synchronization with progesterone, which prepares the endometrium for embryo implantation [ 4 ]. In complex infertility cases, supplemental progesterone is essential, especially when there are deficiencies in the luteal phase or in natural corpus luteum function [ 5 ]. In IVF protocols, selecting the appropriate method of progesterone supplementation and its timing in relation to the WOI are crucial considerations [ 6 ].…”