Haemorrhagic Corpus Luteal Cyst in a Young Female: A Case Report from Pakistan

Sheema Tariq, Sidrah Tariq, Muhammad Ammar Dogar
In: Pakistan Armed Forces Medical Journal · 2024 · vol. 74(4) , pp. 1224–1226 · doi:10.51253/pafmj.v74i4.6443 · W4402045512
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This case report details a young female's misdiagnosis of acute abdominal pain, ultimately identified as a hemorrhagic corpus luteal cyst via histopathology after two surgeries.

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This Pakistan case report describes a young female who presented with bouts of acute abdominal pain, initially without radiological or clinical abnormalities, later developing signs of systemic infection and undergoing two laparoscopic surgeries. Despite imaging findings that could resemble gastrointestinal or urological disorders, the eventual diagnosis of a haemorrhagic corpus luteal cyst was established on histopathology after misdiagnosis risk was recognized. The authors emphasize the need to consider ovarian cysts, particularly functional cysts, in acute abdominal pain differentials and note that functional cysts can be mistaken for other conditions. Relevance to endometriosis: endometriosis is mentioned only in the paper’s references as part of broader reproductive-disease context (e.g., endometriosis and mild bleeding disorders and endometriosis pathogenesis/review), though the case report’s main focus is a haemorrhagic corpus luteal cyst.

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Abstract

The present case highlights the potential of misdiagnosis of functional cysts in young females presenting with acute abdominal pain and radiological findings consistent with other common gastrointestinal and urological disorders. A young female suffers bouts of acute abdominal pain. Initially, no radiological or clinical abnormalities were observed. Later, the patient developed signs of systemic infection and underwent two laparoscopic surgeries. Diagnosis of haemorrhagic corpus luteal cyst was established on histopathology. It is essential to thoroughly investigate acute abdominal pain as one of the differentials for ovarian cysts. Always consult a gynaecologist to rule out reproductive diseases in young females.
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Haemorrhagic Corpus Luteal Cyst in a Young Female: A Case Report from Pakistan DOI: https://doi.org/10.51253/pafmj.v74i4.6443Keywords: Corpus luteal cyst, Cystic ovary, Functional cyst, Haemorrhagic, Misdiagnosis, Reproductive diseases.Abstract The present case highlights the potential of misdiagnosis of functional cysts in young females presenting with acute abdominal pain and radiological findings consistent with other common gastrointestinal and urological disorders. A young female suffers bouts of acute abdominal pain. Initially, no radiological or clinical abnormalities were observed. Later, the patient developed signs of systemic infection and underwent two laparoscopic surgeries. Diagnosis of haemorrhagic corpus luteal cyst was established on histopathology. It is essential to thoroughly investigate acute abdominal pain as one of the differentials for ovarian cysts. Always consult a gynaecologist to rule out reproductive diseases in young females. Downloads References Mitri F, Casper RF. Endometriosis and mild bleeding disorders. Int J Fertil Steril 2015; 103(4): 886-887. https://doi.org/10.1016/j.fertnstert.2015.02.037 Vercellini P, Viganò P, Somigliana E, Fedele L. Endometriosis: pathogenesis and treatment. Nat Rev Endocrinol 2014; 10(5): 261-275. https://doi.org/10.1038/nrendo.2013.255 Vercellini P, Frontino G, Pietropaolo G, Gattei U, Daguati R, Crosignani PG. Deep endometriosis: definition, pathogenesis, and clinical management. J Am Assoc Gynaecol Laparosc 2004; 11(2): 153-161. https://doi.org/10.1016/s1074-3804(05)60190-9 Zheng W, Li N, Wang J, Ulukus EC, Ulukus M, Arici A, et al. Initial endometriosis showing direct morphologic evidence of metaplasia in the pathogenesis of ovarian endometriosis. Int J Gynecol Pathol 2005; 24(2): 164-172. https://doi.org/10.1097/01.rct.0000157091.37057.b4 Matsubara Y, Fujioka T, Ikeda T, Kusanagi Y, Matsubara K, Ito M. Periodic size changes in a supernumerary ovary with associated corpus luteal cyst. J Obstet Gynecol Res 2009; 35(1): 180-182. https://doi.org/10.1111/j.1447-0756.2008.00867.x Choi HJ, Kim SH, Kim SH, Kim HC, Park CM, Lee HJ, et al. Ruptured corpus luteal cyst: CT findings. Korean J Radiol 2003; 4(1): 42-45. https://doi.org/10.53347/rID-35715 Hertzberg BS, Kliewer MA, Paulson EK. Ovarian cyst rupture causing hemoperitoneum: imaging features and the potential for misdiagnosis. Abdom Imaging 1999; 24(3): 304-308. https://doi.org/10.1007/s002619900502 Liu X, Song L, Wang J, Liu Q, Liu Y, Zhang X. Diagnostic utility of CT in differentiating between ruptured ovarian corpus luteal cyst and ruptured ectopic pregnancy with hemorrhage. J Ovarian Res 2018; 11(1): 5. https://doi.org/10.1186/s13048-017-0374-8 Jie DU, Yingfang XU. Clinical analysis of 749 cases with gynecological acute abdomen. Chin J Prim Med Pharm 2013; (16): 2459-2461. Downloads Published Issue Section License Copyright (c) 2024 Sidrah Tariq, Muhammad Ammar Dogar This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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