Acute Abdominal Pain Caused by Hemorrhagic Corpus Lutheum in Reproductive-Aged Women: A Case Series

Acute Abdominal Pain Caused by Hemorrhagic Corpus Lutheum in Reproductive-Aged Women: A Case Series Article Main Content Hemorrhage of corpus luteum is a rare condition in women of reproductive age. It is possible for a woman's corpus luteum to have asymptomatic hemorrhaging as a result of blood vessel penetration through the wall of the corpus luteum during the second half of her menstrual cycle. There have been very few occurrences of it growing to be too large and then rupturing. Those who suffer from polycystic ovarian syndrome (PCOS) are at risk for developing this condition. Polycystic ovarian syndrome is characterized by an inflammation of the body's hormonal function, which results in the development of larger ovaries that also include a number of small follicular cysts. The development of cysts on the ovaries, which contribute to the appearance of larger ovaries, is brought on by an abundance of androgen hormones in the body. In a minority of cases, this enlargement also has the potential to rupture, which is an additional concern. The predominant symptom that presented clinically was sharp pain in the lower abdomen. Because to the fact that HCL may present similarly to other conditions, diagnosis might be difficult. We present and discuss three cases of young female patients who presented with acute abdominal pain, large-volume of hemoperitoneum, and anemia. Laparoscopic examination in each case showed a hemorrhagic corpus luteal cyst. References - Bauman R, Horvat G. Management of Ruptured Corpus Luteum with Hemoperitoneum in Early Pregnancy–a Case Report. Acta Clinica Croatica. 2018; 57(4): 785-787. Google Scholar 1 - Ezem U. Corpus luteum rupture mimicking acute appendicitis. Ibom Medical Journal. 2022; 15(3): 285-288. Google Scholar 2 - Pulappadi VP, Manchanda S, Sk P, Hari S. Identifying corpus luteum rupture as the culprit for haemoperitoneum. The British Journal of Radiology. 2021; 94(1117): 20200383. Google Scholar 3 - Medvediev MV, Malvasi A, Gustapane S, Tinelli A. Hemorrhagic corpus luteum: clinical management update. Turkish Journal of Obstetrics and Gynecology. 2020; 17(4): 300. Google Scholar 4 - Kim MJ, Kim HM, Seong WJ. The predicting factors for indication of surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture. Scientific Reports. 2021; 11(1): 17766. Google Scholar 5 - Melo AJ, Vadhan JD, Miller M, Melo JB. Acquired hemophilia A presenting as spontaneous hemorrhage following corpus luteum cyst rupture: a case report and review of the literature. 2022. Google Scholar 6 - Xie X, Jiang S. Corpus luteum hemorrhage with acquired hemophilia A: a case report and literature review. BMC Women's Health. 2022; 22(1): 1-6. Google Scholar 7 - Al-Shukri M. Ruptured ovarian cyst hemorrhage: the swing between conservative and surgical management. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2019; 8(4): 1706-1708. Google Scholar 8 - Feldman I, Alon B, Nesher G, Wolak T, Breuer GS. Ruptured hemorrhagic corpus luteum as a presenting symptom of systemic lupus erythematous. Clinical Rheumatology. 2020; 39: 3127-3129. Google Scholar 9 - Pandit K, Potdar S, Pandit S, Pandve HT, Pandit S. Massive haemoperitoneum from a ruptured corpus luteal cyst. JOJ Case Stud. 2018; 5(5): 555672. Google Scholar 10 - Luo PY, Chen X, Cheng L, Ma L, Gou SJ. Anti-glomerular basement membrane disease with rupture of the newly formed bilateral corpus luteum cysts: A case report. Medicine. 2022; 101(43): e31643. Google Scholar 11 - Obi EI, Osegi N, Etu‐Efeotor TP, Pughikumo OC, Toluhi H, Makinde O. Massive hemoperitoneum from hemorrhagic corpus luteum in a patient with acquired amegakaryocytic thrombocytopenic purpura. Clinical Case Reports. 2020; 8(4): 719-721. Google Scholar 12 - Xia H, Huang W, Song Y, Liu W, Dong H, Qiu L, Chen J. Analysis of the Diagnosis and Treatment of Recurrent Rupture and Hemorrhage of Ovarian Corpus Luteum Cyst Induced by Imatinib. Journal of Gynecology and Obstetrics. 2021; 9(4): 100-103. Google Scholar 13 - Saxena R, Agarwal A. Assessment of cases of rupture corpus luteum-A clinical study. Journal of Advanced Medical and Dental Sciences Research. 2019; 7(5). Google Scholar 14 - Patel MD, Young SW, Dahiya N. Ultrasound of pelvic pain in the nonpregnant woman. Radiologic Clinics. 2019; 57(3): 601-616. Google Scholar 15 - Curry A, Sodhi S, Rempell J, Cheng A. Young girl with abdominal pain. Journal of the American College of Emergency Physicians Open. 2020; 1(6): 1731. Google Scholar 16 - Simstein R, Merenich W, Graber J, Ferrell M. A case report of ovarian torsion following ovarian transposition for cervical cancer. Emergency Radiology. 2020; 27: 569-572. Google Scholar 17